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Heart Transplant Rejection Blood Test

Montana rates for HCPCS 81595

A blood test for people living with a transplanted heart that measures how active a set of genes is in immune cells and turns the pattern into a score showing how likely the body is to be rejecting the organ. A reassuring score can spare the patient a biopsy of the heart muscle, which requires threading a catheter into the heart. It is used for routine monitoring rather than for diagnosing a rejection episode already underway.

Rates data updated July 2026.

How much does Heart Transplant Rejection Blood Test cost?

$4,365

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $4,677 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$4,074$3,715 to $6,607
FacilityA hospital or hospital-owned outpatient department$4,677$4,074 to $6,310

How much rates vary

Facilitymedian $4,677 · 10th to 90th $3,236 to $9,772Professionalmedian $4,074 · 10th to 90th $1,349 to $21,380
$2.0K$5.0K$10.0K$20.0Kfacility $4,677professional $4,074

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
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,495.41
Typical High
$18,620.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$9,772.37
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$9,772.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$18,620.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,348.96
Typical High
$2,818.38

Where Montana sits

The same service costs 3.5 times more in Alaska than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $4,365 · 5th of 51
AK $7,244RI $2,089

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.