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Red Blood Cell Mechanical Fragility

Montana 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?

$12.59

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $11.48 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.48$5.13 to $12.59
FacilityA hospital or hospital-owned outpatient department$14.79$12.88 to $16.60

How much rates vary

Facilitymedian $15 · 10th to 90th $13 to $20Professionalmedian $11 · 10th to 90th $4 to $15
$5$10$20$50facility $15professional $11

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
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.88
Typical High
$25.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$12.59
Typical High
$12.59
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$14.79
Typical High
$19.95
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$12.88
Typical High
$15.85
Providence
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$25.70
Providence
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$12.59
United
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$3.63
Typical High
$8.51

Where Montana 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.

Montana· 7th of 51

$12.59

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.