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Donor DNA Transplant Monitoring Test

Illinois rates for HCPCS 0118U

Monitors a transplanted organ for signs of rejection using a blood sample. It measures what fraction of the DNA in the plasma came from the donated organ; a rising fraction suggests the organ is being damaged. Unlike biopsy-based rejection tests, it does not need tissue.

Rates data updated July 2026.

How much does Donor DNA Transplant Monitoring Test cost?

$2,692

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $4,169 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 5 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$2,239$1,660 to $2,754
FacilityA hospital or hospital-owned outpatient department$4,169$2,818 to $5,495

How much rates vary

Facilitymedian $4,169 · 10th to 90th $2,239 to $6,026Professionalmedian $2,239 · 10th to 90th $457 to $4,898
$500$1K$2K$5K$10Kfacility $4,169professional $2,239

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
$2,238.72
Median
$4,168.69
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$2,238.72
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,715.35
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,309.57
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,388.44
Typical High
$3,981.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$3,715.35
Typical High
$5,128.61
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$2,754.23

Where Illinois sits

The same service costs 13.5 times more in Alaska than in Vermont. 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.

Illinois· 19th of 51

$2,692

AK $6,166VT $457

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.