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Blood Test Scoring Transplant Rejection Risk

West Virginia 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?

$525

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $794 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 4 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$513$479 to $525
FacilityA hospital or hospital-owned outpatient department$794$525 to $955

How much rates vary

Facilitymedian $794 · 10th to 90th $525 to $955Professionalmedian $513 · 10th to 90th $288 to $550
$500$1K$2Kfacility $794professional $513

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
$524.81
Median
$794.33
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$549.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$933.25
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$741.31
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$645.65

Where West Virginia 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.

West Virginia· 33rd of 51

$525

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.