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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 October 2026.

How much does Red Blood Cell Mechanical Fragility cost?

$10.00

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $13.49 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.00$6.03 to $17.78
FacilityA hospital or hospital-owned outpatient department$13.49$9.77 to $16.60

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $32Professionalmedian $10 · 10th to 90th $6 to $21
$5$10$20$50$100facility $13professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$9.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$8.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$16.60
Typical High
$20.89
Medica
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$9.77
Typical High
$43.65
Medica
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$7.76
Typical High
$12.02
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$19.95
Typical High
$23.44
United
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$6.03
Typical High
$10.23
Wellmark
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.51

Where South Dakota 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.

South Dakota· 17th of 51

$10.00

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.