go back

Plasminogen Blood Test

Vermont 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?

$11.48

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $50.12 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 5 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$11.48$11.22 to $11.48
FacilityA hospital or hospital-owned outpatient department$50.12$6.46 to $112

How much rates vary

Facilitymedian $50 · 10th to 90th $2 to $117Professionalmedian $11 · 10th to 90th $5 to $11
$5$10$20$50$100facility $50professional $11

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$9.33
Typical High
$11.22
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$8.13
Typical High
$17.78

Where Vermont 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.

Vermont· 3rd of 51

$11.48

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.