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Transplant Rejection Immune Cell Risk Score

North Carolina 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?

$513

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $525 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$513$457 to $513
FacilityA hospital or hospital-owned outpatient department$525$513 to $776

How much rates vary

Facilitymedian $525 · 10th to 90th $427 to $3,020Professionalmedian $513 · 10th to 90th $380 to $575
$500$1K$2Kfacility $525professional $513

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
$512.86
Median
$512.86
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,698.24
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$891.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$645.65
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$645.65
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95

Where North Carolina 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.

North Carolina· 37th of 51

$513

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.