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Transplant Rejection Immune Cell Risk Score

Texas 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?

$490

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $724 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 9 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$447$380 to $490
FacilityA hospital or hospital-owned outpatient department$724$490 to $1,202

How much rates vary

Facilitymedian $724 · 10th to 90th $398 to $2,951Professionalmedian $447 · 10th to 90th $269 to $646
$500$1K$2Kfacility $724professional $447

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
$398.11
Median
$794.33
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$616.60
Christus
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,288.25
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$891.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$758.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$602.56
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,548.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$645.65
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$645.65
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$645.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$645.65
Typical High
$1,230.27

Where Texas 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.

Texas· 42nd of 51

$490

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.