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Heart Transplant Rejection Blood Test

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $5,495 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 9 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$2,630$1,862 to $3,020
FacilityA hospital or hospital-owned outpatient department$5,495$3,890 to $8,913

How much rates vary

Facilitymedian $5,495 · 10th to 90th $2,754 to $12,023Professionalmedian $2,630 · 10th to 90th $1,549 to $7,244
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $5,495professional $2,630

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
$2,754.23
Median
$5,495.41
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,630.27
Typical High
$11,481.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$13,803.84
Typical High
$19,498.45
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,248.07
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,467.37
Typical High
$7,244.36
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$4,265.80
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,630.78
Typical High
$5,754.40
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$5,495.41
Typical High
$10,964.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,630.27
Typical High
$11,481.54
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,235.94
Typical High
$7,943.28
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,235.94
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,949.84
Typical High
$4,786.30

Where Pennsylvania 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.

Pennsylvania $2,754 · 35th 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.