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Plasminogen Blood Test

Rhode Island 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?

$6.76

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $6.76 for this service. The price depends on where it is billed: about $6.76 from a physician practice, and about $19.50 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 4 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$6.76$4.90 to $6.76
FacilityA hospital or hospital-owned outpatient department$19.50$8.32 to $37.15

How much rates vary

Facilitymedian $19 · 10th to 90th $8 to $42Professionalmedian $7 · 10th to 90th $4 to $13
$5$10$20facility $19professional $7

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
$10.72
Median
$26.30
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.76
Typical High
$6.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$13.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.90
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$15.49
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.24
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$6.31
Typical High
$12.88

Where Rhode Island 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.

Rhode Island· 26th of 51

$6.76

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.