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Red Blood Cell Mechanical Fragility

Georgia rates for HCPCS 85547

A blood test that measures how easily red blood cells break apart when they are physically stressed in the laboratory. Cells that rupture more readily than normal point to a weakness in the red cell membrane, the outer wall that holds the cell together.

Rates data updated July 2026.

How much does Red Blood Cell Mechanical Fragility cost?

$7.76

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $11.22 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 6 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$6.92$5.75 to $8.32
FacilityA hospital or hospital-owned outpatient department$11.22$8.32 to $14.79

How much rates vary

Facilitymedian $11 · 10th to 90th $7 to $17Professionalmedian $7 · 10th to 90th $4 to $14
$5.0$10.0$20.0$50.0facility $11professional $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
$6.76
Median
$12.30
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.08
Typical High
$14.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$11.22
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.89
Typical High
$13.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$16.98
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.03
Typical High
$18.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.30
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$7.76
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.01
Typical High
$12.02

Where Georgia sits

The same service costs 2.6 times more in South Dakota than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $7.76 · 37th of 51
SD $16.60RI $6.46

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.