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Red Blood Cell Mechanical Fragility

Utah 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?

$9.12

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $8.13 from a physician practice, and about $38.90 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$8.13$6.61 to $10.00
FacilityA hospital or hospital-owned outpatient department$38.90$10.96 to $58.88

How much rates vary

Facilitymedian $39 · 10th to 90th $10 to $76Professionalmedian $8 · 10th to 90th $6 to $11
$5.0$10.0$20.0$50.0facility $39professional $8

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
$10.96
Median
$58.88
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.13
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$8.91
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.03
Typical High
$16.60
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$38.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$7.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.51
Typical High
$11.22
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.51
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.13
Typical High
$12.02

Where Utah 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.

Utah $9.12 · 24th 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.