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Red Blood Cell Mechanical Fragility

South Dakota 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?

$16.60

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $16.60 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 6 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$14.13$6.76 to $20.89
FacilityA hospital or hospital-owned outpatient department$16.60$15.85 to $16.60

How much rates vary

Facilitymedian $17 · 10th to 90th $10 to $17Professionalmedian $14 · 10th to 90th $6 to $23
$5$10$20$50$100facility $17professional $14

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
$6.03
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.76
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$20.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$43.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.03
Typical High
$12.02
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$20.89
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$7.76
Typical High
$12.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51

Where South Dakota sits

The same service costs 2.6 times more in South Dakota than in Rhode Island. 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.

South Dakota· 1st of 51

$16.60

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.