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Transplant Rejection Immune Cell Risk Score

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $1,122 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$646$447 to $646
FacilityA hospital or hospital-owned outpatient department$1,122$646 to $1,862

How much rates vary

Facilitymedian $1,122 · 10th to 90th $447 to $2,754Professionalmedian $646 · 10th to 90th $380 to $1,023
$500$1K$2K$5Kfacility $1,122professional $646

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
$446.68
Median
$1,122.02
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$602.56
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$891.25
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,096.48
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,071.52
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$776.25

Where Massachusetts 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.

Massachusetts· 15th 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.