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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 October 2026.

How much does Red Blood Cell Mechanical Fragility cost?

$10.00

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $14.79 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.41$5.37 to $12.02
FacilityA hospital or hospital-owned outpatient department$14.79$9.55 to $26.30

How much rates vary

Facilitymedian $15 · 10th to 90th $6 to $46Professionalmedian $7 · 10th to 90th $4 to $32
$2$5$10$20$50$100facility $15professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$13.49
Typical High
$26.30
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3.55
Median
$6.31
Typical High
$12.88
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1.41
Median
$2.51
Typical High
$5.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$10.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.55
Median
$3.55
Typical High
$4.27
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.41
Median
$1.41
Typical High
$1.74
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$5.25
Median
$11.48
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$19.95
Typical High
$35.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$10.23
Typical High
$15.49
Hally Health
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$13.49
Typical High
$81.28
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Molina
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$6.03
Typical High
$10.72
United
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$10.23
Typical High
$21.88
United
Setting
Professional
Modifier
None
Typical Low
$2.14
Median
$5.13
Typical High
$9.33

Where Illinois sits

The same service costs 4.7 times more in Kansas than in Nebraska. 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.

Illinois· 18th of 51

$10.00

KS $26.92NE $5.75

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.