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Transplant Rejection Immune Cell Risk Score

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $794 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 7 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$372 to $550
FacilityA hospital or hospital-owned outpatient department$794$550 to $1,585

How much rates vary

Facilitymedian $794 · 10th to 90th $479 to $2,884Professionalmedian $479 · 10th to 90th $209 to $646
$200$500$1K$2Kfacility $794professional $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
$478.63
Median
$1,202.26
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,311.31
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,584.89
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$676.08
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$954.99
Medcost
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Sentara
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$1,621.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$645.65
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$645.65

Where Virginia 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.

Virginia· 43rd 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.