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Blood Test Scoring Transplant Rejection Risk

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $1,230 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$525$501 to $603
FacilityA hospital or hospital-owned outpatient department$1,230$759 to $1,585

How much rates vary

Facilitymedian $1,230 · 10th to 90th $550 to $2,188Professionalmedian $525 · 10th to 90th $380 to $1,072
$500$1K$2Kfacility $1,230professional $525

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
$549.54
Median
$1,230.27
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,513.56
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$870.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$588.84
Typical High
$954.99
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$933.25
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$1,122.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,230.27
Typical High
$2,290.87
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$1,905.46
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,584.89
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$645.65
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$645.65
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$954.99

Where Pennsylvania 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.

Pennsylvania· 29th 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.