go back

Transplant Rejection Immune Cell Risk Score

Missouri 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?

$631

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $891 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$562$331 to $741
FacilityA hospital or hospital-owned outpatient department$891$646 to $1,122

How much rates vary

Facilitymedian $891 · 10th to 90th $562 to $1,230Professionalmedian $562 · 10th to 90th $209 to $1,072
$200$500$1K$2Kfacility $891professional $562

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
$616.60
Median
$1,071.52
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$446.68
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,122.02
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$707.95
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
$776.25

Where Missouri 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.

Missouri· 20th of 51

$631

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.