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Donor DNA Transplant Monitoring Test

South Carolina 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?

$2,188

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $6,761 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$2,138$2,138 to $2,188
FacilityA hospital or hospital-owned outpatient department$6,761$2,138 to $8,710

How much rates vary

Facilitymedian $6,761 · 10th to 90th $2,138 to $13,183Professionalmedian $2,138 · 10th to 90th $1,660 to $2,399
$2K$5K$10Kfacility $6,761professional $2,138

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
$2,137.96
Median
$6,760.83
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,951.21
Typical High
$5,623.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$9,120.11
Typical High
$15,848.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$2,754.23

Where South Carolina 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.

South Carolina· 31st of 51

$2,188

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.