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Blood Test Scoring Transplant Rejection Risk

New Jersey rates for HCPCS 81560

A blood test used after an organ transplant that measures how strongly the recipient's immune cells react against donor tissue and turns the result into a risk score. The score helps the transplant team judge how likely rejection is and how closely a patient needs to be watched or medicated. It uses an ordinary blood draw rather than a tissue sample from the graft.

Rates data updated July 2026.

How much does Blood Test Scoring Transplant Rejection Risk cost?

$550

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $912 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$479$417 to $550
FacilityA hospital or hospital-owned outpatient department$912$813 to $2,884

How much rates vary

Facilitymedian $912 · 10th to 90th $631 to $6,457Professionalmedian $479 · 10th to 90th $339 to $550
$200$500$1K$2K$5K$10K$20Kfacility $912professional $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
$812.83
Median
$851.14
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$691.83
Typical High
$977.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$380.19
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$645.65

Where New Jersey sits

The same service costs 4.0 times more in North Dakota than in Oklahoma. 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.

New Jersey· 27th of 51

$550

ND $1,072OK $269

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.