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Donor And Recipient Tissue Crossmatch

Illinois 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?

$214

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $162 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 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$162$145 to $263
FacilityA hospital or hospital-owned outpatient department$288$191 to $380

How much rates vary

Facilitymedian $288 · 10th to 90th $155 to $525Professionalmedian $162 · 10th to 90th $47 to $389
$5.0$20.0$100.0$500.0$2.0Kfacility $288professional $162

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
$154.88
Median
$295.12
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$162.18
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$257.04
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$131.83
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$398.11
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$131.83
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$263.03
Typical High
$478.63
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$190.55
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$79.43
Typical High
$162.18

Where Illinois 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.

Illinois $214 · 6th 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.