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Donor And Recipient Tissue Crossmatch

Colorado rates for HCPCS 86805

A laboratory crossmatch in which a potential donor's cells are mixed with the recipient's serum and a substance is added that destroys cells only where antibodies have attached. A technician then reads under a microscope how many cells were killed. It is done before a transplant to show whether the recipient carries antibodies that would attack the donor organ.

Rates data updated July 2026.

How much does Donor And Recipient Tissue Crossmatch cost?

$162

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $468 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 7 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$145$120 to $162
FacilityA hospital or hospital-owned outpatient department$468$251 to $794

How much rates vary

Facilitymedian $468 · 10th to 90th $145 to $955Professionalmedian $145 · 10th to 90th $76 to $178
$10.0$50.0$200.0$1.0Kfacility $468professional $145

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
$120.23
Median
$416.87
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$562.34
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$100.00
Typical High
$229.09
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$144.54
Typical High
$229.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$457.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$346.74
Typical High
$398.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$190.55
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$79.43
Typical High
$141.25

Where Colorado sits

The same service costs 3.8 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $162 · 25th of 51
ND $288CT $75.86

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.