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Plasminogen Blood Test

West 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?

$5.37

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $15.14 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$5.25$4.90 to $5.37
FacilityA hospital or hospital-owned outpatient department$15.14$5.37 to $74.13

How much rates vary

Facilitymedian $15 · 10th to 90th $5 to $74Professionalmedian $5 · 10th to 90th $4 to $6
$5$10$20$50$100facility $15professional $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
$5.37
Median
$15.14
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.25
Typical High
$6.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$12.30
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$12.59
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.89
Typical High
$9.12

Where West 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.

West Virginia· 46th of 51

$5.37

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.