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Transplant Rejection Immune Cell Risk Score

Pennsylvania 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?

$603

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,072 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$501$479 to $603
FacilityA hospital or hospital-owned outpatient department$1,072$692 to $1,585

How much rates vary

Facilitymedian $1,072 · 10th to 90th $603 to $2,042Professionalmedian $501 · 10th to 90th $339 to $646
$500$1K$2Kfacility $1,072professional $501

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
$602.56
Median
$1,230.27
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$602.56
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$870.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$831.76
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$933.25
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$1,122.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$2,041.74
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$912.01
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,584.89
Typical High
$1,584.89
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$645.65
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$645.65
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$954.99

Where Pennsylvania 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.

Pennsylvania· 21st of 51

$603

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.