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Red Blood Cell Mechanical Fragility

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $11.75 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$8.32$5.25 to $14.45
FacilityA hospital or hospital-owned outpatient department$11.75$8.51 to $16.22

How much rates vary

Facilitymedian $12 · 10th to 90th $8 to $22Professionalmedian $8 · 10th to 90th $4 to $20
$5.0$10.0$20.0$50.0$100.0facility $12professional $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
$8.32
Median
$14.79
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.32
Typical High
$20.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$30.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.08
Typical High
$22.39
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.98
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.60
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$8.13
Typical High
$22.39
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$19.50
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.13
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$8.51
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$6.31
Typical High
$11.22

Where Missouri 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.

Missouri $10.00 · 16th 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.