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Donor And Recipient Tissue Crossmatch

Georgia 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?

$138

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $174 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 6 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$126$83.18 to $166
FacilityA hospital or hospital-owned outpatient department$174$100 to $257

How much rates vary

Facilitymedian $174 · 10th to 90th $72 to $339Professionalmedian $126 · 10th to 90th $72 to $182
$50$100$200$500facility $174professional $126

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
$63.10
Median
$151.36
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$181.97
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$208.93
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$309.03
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$95.50
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$218.78
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$169.82
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$79.43
Typical High
$190.55

Where Georgia sits

The same service costs 3.8 times more in North Dakota than in Connecticut. 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.

Georgia· 45th of 51

$138

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.