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Plasminogen Blood Test

Virginia 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?

$6.17

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $4.90 from a physician practice, and about $10.23 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 8 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$4.90$4.90 to $6.17
FacilityA hospital or hospital-owned outpatient department$10.23$6.46 to $16.98

How much rates vary

Facilitymedian $10 · 10th to 90th $6 to $39Professionalmedian $5 · 10th to 90th $3 to $17
$10$100$1K$10Kfacility $10professional $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
$6.17
Median
$14.79
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.13
Typical High
$12.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$5.01
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$30.90
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$16.98
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.79
Typical High
$11.22
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.76
Typical High
$9.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$10.96
Typical High
$12.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$6.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$13.80
Typical High
$16.22
Sentara
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$11.22
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$11.48
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$6.46
Typical High
$11.22
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.89
Typical High
$6.92

Where Virginia 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.

Virginia· 37th of 51

$6.17

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.