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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 October 2026.

How much does Donor And Recipient Tissue Crossmatch cost?

$170

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $263 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$79.43 to $209
FacilityA hospital or hospital-owned outpatient department$263$166 to $525

How much rates vary

Facilitymedian $263 · 10th to 90th $110 to $871Professionalmedian $148 · 10th to 90th $34 to $302
$5$20$100$500$2Kfacility $263professional $148

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$295.12
Typical High
$575.44
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$138.04
Typical High
$288.40
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$54.95
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$154.88
Typical High
$190.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$77.62
Typical High
$95.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$30.90
Typical High
$38.02
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$257.04
Typical High
$1,584.89
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$131.83
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$380.19
Typical High
$794.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$112.20
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$263.03
Typical High
$407.38
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Molina
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$234.42
United
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$229.09
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$79.43
Typical High
$199.53

Where Illinois sits

The same service costs 11.2 times more in Alaska than in Alabama. 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.

Illinois· 19th of 51

$170

AK $427AL $38.02

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.