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Transplant Rejection Immune Cell Risk Score

Iowa rates for HCPCS 0018M

Estimates the risk that a transplanted organ will be rejected by examining the patient's own immune cells. It counts memory T cells carrying the CD154 marker in a blood sample and reports a single combined risk score, rather than measuring genetic material from the transplant.

Rates data updated July 2026.

How much does Transplant Rejection Immune Cell Risk Score cost?

$646

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $1,000 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 7 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$490$427 to $676
FacilityA hospital or hospital-owned outpatient department$1,000$646 to $1,698

How much rates vary

Facilitymedian $1,000 · 10th to 90th $490 to $1,862Professionalmedian $490 · 10th to 90th $380 to $832
$500$1K$2Kfacility $1,000professional $490

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
$489.78
Median
$1,513.56
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$831.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$794.33
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$1,412.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$645.65

Where Iowa sits

The same service costs 2.3 times more in North Dakota than in Connecticut. 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.

Iowa· 17th of 51

$646

ND $977CT $417

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.