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Transplant Rejection Immune Cell Risk Score

Utah 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?

$575

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $3,090 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$562$490 to $603
FacilityA hospital or hospital-owned outpatient department$3,090$575 to $3,090

How much rates vary

Facilitymedian $3,090 · 10th to 90th $575 to $4,074Professionalmedian $562 · 10th to 90th $479 to $741
$500$1K$2Kfacility $3,090professional $562

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
$575.44
Median
$3,090.30
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$575.44
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$831.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$575.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Select Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$831.76
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$645.65

Where Utah 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.

Utah· 24th of 51

$575

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.