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Transplant Rejection Immune Cell Risk Score

New York 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?

$479

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $347 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 8 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$347$263 to $513
FacilityA hospital or hospital-owned outpatient department$1,122$676 to $1,479

How much rates vary

Facilitymedian $1,122 · 10th to 90th $479 to $1,778Professionalmedian $347 · 10th to 90th $209 to $646
$200$500$1K$2Kfacility $1,122professional $347

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
$1,148.15
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$3,090.30
Typical High
$3,090.30
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,047.13
Typical High
$2,454.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$1,230.27
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$724.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$933.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$741.31
Univera
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$741.31

Where New York 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 York· 47th of 51

$479

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.