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Red Blood Cell Mechanical Fragility

Idaho 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?

$10.00

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $15.49 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$8.13 to $16.60
FacilityA hospital or hospital-owned outpatient department$15.49$8.51 to $26.92

How much rates vary

Facilitymedian $15 · 10th to 90th $9 to $41Professionalmedian $9 · 10th to 90th $6 to $17
$5.0$10.0$20.0$50.0facility $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
$15.49
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.00
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$24.55
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.51
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$17.78
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.46
Typical High
$12.30
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$11.22
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$10.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$17.38
Typical High
$30.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.24
Typical High
$9.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$34.67
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.13
Typical High
$14.13

Where Idaho 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.

Idaho $10.00 · 17th 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.