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Red Blood Cell Mechanical Fragility

Iowa 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?

$10.23

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $8.51 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 7 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$8.51$6.61 to $20.89
FacilityA hospital or hospital-owned outpatient department$15.14$8.51 to $22.91

How much rates vary

Facilitymedian $15 · 10th to 90th $7 to $25Professionalmedian $9 · 10th to 90th $6 to $56
$2.0$5.0$10.0$20.0$50.0$100.0facility $15professional $9

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
$6.61
Median
$20.42
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.61
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$20.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$20.89
Typical High
$63.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$26.92
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$10.23
Typical High
$22.39
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.48
Typical High
$95.50
Midlands
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.24
Typical High
$21.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.51
Typical High
$8.51

Where Iowa 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.

Iowa $10.23 · 11th 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.