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Heart Transplant Rejection Blood Test

Ohio 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?

$2,754

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $4,571 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$2,570$1,514 to $3,090
FacilityA hospital or hospital-owned outpatient department$4,571$3,236 to $7,079

How much rates vary

Facilitymedian $4,571 · 10th to 90th $2,630 to $7,413Professionalmedian $2,570 · 10th to 90th $1,288 to $5,129
$50.0$200.0$1.0K$5.0K$20.0Kfacility $4,571professional $2,570

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
$2,630.27
Median
$5,495.41
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,630.27
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,388.44
Typical High
$6,025.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$4,073.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,265.80
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,778.28
Typical High
$7,244.36
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,265.80
Typical High
$18,197.01
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,778.28
Typical High
$6,456.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,884.03
Typical High
$3,548.13
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,235.94
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$4,466.84

Where Ohio 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.

Ohio $2,754 · 32nd 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.