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Red Blood Cell Mechanical Fragility

Massachusetts 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?

$9.12

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $19.50 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 8 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$7.76 to $12.88
FacilityA hospital or hospital-owned outpatient department$19.50$12.02 to $25.70

How much rates vary

Facilitymedian $19 · 10th to 90th $8 to $32Professionalmedian $9 · 10th to 90th $5 to $22
$10.0$100.0$1.0K$10.0Kfacility $19professional $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
$6.03
Median
$16.60
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.76
Typical High
$28.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$8.51
Typical High
$20.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$30.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$13.49
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$10.00
Typical High
$22.39
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$50.12
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$14.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$19.95
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$8.51
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$8.51
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$7.76
Typical High
$21.88

Where Massachusetts 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.

Massachusetts $9.12 · 23rd 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.