go back

Plasminogen Blood Test

Pennsylvania rates for HCPCS 85420

Measures the activity of plasminogen in a blood sample. Plasminogen is a protein the body converts into the enzyme that breaks down blood clots once they are no longer needed. Low activity is investigated when clots form too readily or when a rare inherited deficiency is suspected.

Rates data updated July 2026.

How much does Plasminogen Blood Test cost?

$7.94

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $17.38 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.37$5.13 to $6.17
FacilityA hospital or hospital-owned outpatient department$17.38$9.55 to $29.51

How much rates vary

Facilitymedian $17 · 10th to 90th $5 to $72Professionalmedian $5 · 10th to 90th $5 to $10
$5$10$20$50$100$200facility $17professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$17.38
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.25
Typical High
$10.00
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$46.77
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$10.00
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$8.13
Typical High
$15.85
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.89
Typical High
$9.55
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.24
Typical High
$11.22
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$16.22
Typical High
$40.74
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$17.38
Typical High
$72.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.50
Typical High
$16.22
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$26.92
Typical High
$56.23
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.46
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$6.46
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$5.37
Typical High
$11.48

Where Pennsylvania sits

The same service costs 2.3 times more in Hawaii than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 11th of 51

$7.94

HI $11.75MD $5.01

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.