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Donor DNA Transplant Monitoring Test

Virginia 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?

$1,380

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $3,162 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 8 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$457$234 to $2,042
FacilityA hospital or hospital-owned outpatient department$3,162$1,778 to $5,248

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,148 to $11,749Professionalmedian $457 · 10th to 90th $209 to $2,754
$200$500$1K$2K$5K$10Kfacility $3,162professional $457

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
$457.09
Median
$1,318.26
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$2,041.74
Typical High
$2,238.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$14,454.40
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$346.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,344.23
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,370.32
Typical High
$14,125.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,019.95
Typical High
$3,890.45
Medcost
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$2,511.89
Typical High
$4,073.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$5,754.40
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,162.28
Typical High
$6,309.57
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,754.23
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$3,162.28

Where Virginia 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.

Virginia· 47th of 51

$1,380

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.