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Blood Test Scoring Transplant Rejection Risk

Ohio 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?

$513

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $871 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$380$251 to $525
FacilityA hospital or hospital-owned outpatient department$871$631 to $1,380

How much rates vary

Facilitymedian $871 · 10th to 90th $513 to $1,549Professionalmedian $380 · 10th to 90th $209 to $813
$200$500$1K$2Kfacility $871professional $380

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
$512.86
Median
$891.25
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,380.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$912.01
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$794.33
Typical High
$3,548.13
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$794.33
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$645.65
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$691.83

Where Ohio 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.

Ohio· 39th of 51

$513

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.