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Donor And Recipient Tissue Crossmatch

Iowa 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?

$191

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $288 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$126 to $363
FacilityA hospital or hospital-owned outpatient department$288$191 to $447

How much rates vary

Facilitymedian $288 · 10th to 90th $145 to $550Professionalmedian $145 · 10th to 90th $115 to $1,259
$50$100$200$500$1Kfacility $288professional $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
$144.54
Median
$426.58
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$457.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$229.09
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$114.82
Typical High
$380.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$234.42
Typical High
$251.19
Midlands
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$114.82
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$190.55

Where Iowa 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.

Iowa· 16th of 51

$191

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.