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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 October 2026.

How much does Red Blood Cell Mechanical Fragility cost?

$6.92

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $6.92 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $10.96 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.37$4.27 to $8.13
FacilityA hospital or hospital-owned outpatient department$10.96$8.71 to $15.14

How much rates vary

Facilitymedian $11 · 10th to 90th $7 to $28Professionalmedian $5 · 10th to 90th $4 to $13
$5$10$20$50facility $11professional $5

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
$8.13
Median
$19.05
Typical High
$34.67
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$4.07
Median
$9.55
Typical High
$17.38
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1.62
Median
$3.80
Typical High
$7.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$8.13
Typical High
$81.28
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.47
Median
$4.07
Typical High
$40.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.38
Median
$1.62
Typical High
$16.22
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$6.92
Median
$10.00
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$4.57
Typical High
$10.96
CareSource
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$10.00
CareSource
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.62
Median
$10.00
Typical High
$35.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$5.50
Typical High
$12.30
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$5.62
Median
$10.00
Typical High
$35.48
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$5.50
Typical High
$12.02
Molina
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$5.89
Typical High
$10.23
SummaCare
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$7.24
Typical High
$10.23
United
Setting
Facility
Modifier
None
Typical Low
$3.09
Median
$8.51
Typical High
$30.20
United
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$5.25
Typical High
$12.30

Where Ohio 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.

Ohio· 40th of 51

$6.92

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.