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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 October 2026.

How much does Red Blood Cell Mechanical Fragility cost?

$6.61

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $18.62 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$6.03$5.89 to $7.08
FacilityA hospital or hospital-owned outpatient department$18.62$10.00 to $31.62

How much rates vary

Facilitymedian $19 · 10th to 90th $7 to $63Professionalmedian $6 · 10th to 90th $5 to $9
$5$10$20$50$100facility $19professional $6

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
$6.61
Median
$7.76
Typical High
$16.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$10.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.31
Median
$3.31
Typical High
$4.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.32
Median
$1.32
Typical High
$2.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$18.62
Typical High
$41.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$8.51
Typical High
$17.38
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$4.27
Typical High
$9.77
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$8.51
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
United
Setting
Facility
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$30.20
United
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$5.13
Typical High
$7.08

Where New Jersey 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.

New Jersey· 45th of 51

$6.61

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.