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Transplant Rejection Immune Cell Risk Score

Illinois 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?

$661

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $933 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 5 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$525$490 to $741
FacilityA hospital or hospital-owned outpatient department$933$661 to $1,288

How much rates vary

Facilitymedian $933 · 10th to 90th $525 to $1,349Professionalmedian $525 · 10th to 90th $380 to $1,318
$200$500$1K$2Kfacility $933professional $525

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
$524.81
Median
$977.24
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$891.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$831.76
Typical High
$1,122.02
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$645.65

Where Illinois 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.

Illinois· 12th of 51

$661

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.