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Transplant Rejection Immune Cell Risk Score

New Jersey 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?

$550

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $955 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$479$417 to $550
FacilityA hospital or hospital-owned outpatient department$955$813 to $2,884

How much rates vary

Facilitymedian $955 · 10th to 90th $631 to $6,457Professionalmedian $479 · 10th to 90th $339 to $646
$200$500$1K$2K$5K$10K$20Kfacility $955professional $479

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
$812.83
Median
$851.14
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$891.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$380.19
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$645.65

Where New Jersey 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.

New Jersey· 27th of 51

$550

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.