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Red Blood Cell Mechanical Fragility

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $18.62 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 5 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$7.24$6.61 to $10.00
FacilityA hospital or hospital-owned outpatient department$18.62$12.88 to $51.29

How much rates vary

Facilitymedian $19 · 10th to 90th $9 to $117Professionalmedian $7 · 10th to 90th $5 to $25
$10.0$100.0$1.0K$10.0Kfacility $19professional $7

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
$10.96
Median
$19.50
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.24
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$18.62
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$8.51
Typical High
$23.99
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.27
Typical High
$9.77
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.59
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$8.51
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.13
Typical High
$12.30

Where New Jersey 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.

New Jersey $10.23 · 15th 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.