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Red Blood Cell Mechanical Fragility

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $13.49 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 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$7.76$7.08 to $12.59
FacilityA hospital or hospital-owned outpatient department$13.49$8.71 to $17.78

How much rates vary

Facilitymedian $13 · 10th to 90th $7 to $23Professionalmedian $8 · 10th to 90th $6 to $19
$2.0$5.0$10.0$20.0$50.0$100.0$200.0facility $13professional $8

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
$7.08
Median
$13.49
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.41
Typical High
$17.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$11.48
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$19.50
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$10.00
Typical High
$15.85
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$17.38
Typical High
$114.82
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$8.51
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$4.68
Typical High
$8.51

Where Illinois 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.

Illinois $10.23 · 14th 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.