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Transplant Rejection Immune Cell Risk Score

Kentucky 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?

$501

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $646 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$490$209 to $525
FacilityA hospital or hospital-owned outpatient department$646$525 to $1,349

How much rates vary

Facilitymedian $646 · 10th to 90th $525 to $1,549Professionalmedian $490 · 10th to 90th $209 to $646
$200$1K$5K$20Kfacility $646professional $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
$524.81
Median
$524.81
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$11,481.54
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$12,022.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$933.25
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$3,090.30
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$645.65
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$645.65

Where Kentucky 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.

Kentucky· 41st of 51

$501

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.