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Red Blood Cell Mechanical Fragility

Ohio 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?

$8.13

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $8.13 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $12.02 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$6.92$5.01 to $8.51
FacilityA hospital or hospital-owned outpatient department$12.02$8.51 to $19.05

How much rates vary

Facilitymedian $12 · 10th to 90th $7 to $28Professionalmedian $7 · 10th to 90th $4 to $20
$2.0$5.0$10.0$20.0$50.0$100.0facility $12professional $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
$7.08
Median
$15.49
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.24
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$9.12
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.37
Typical High
$10.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$10.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$11.22
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$16.60
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$11.22
Typical High
$35.48
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$15.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.76
Typical High
$10.72
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$9.12
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.51
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.13
Typical High
$12.02

Where Ohio 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.

Ohio $8.13 · 35th 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.