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Donor And Recipient Tissue Crossmatch

Kentucky 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?

$151

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $178 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 5 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$138$43.65 to $158
FacilityA hospital or hospital-owned outpatient department$178$155 to $275

How much rates vary

Facilitymedian $178 · 10th to 90th $151 to $457Professionalmedian $138 · 10th to 90th $44 to $234
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $178professional $138

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
$151.36
Median
$154.88
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$154.88
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$75.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$263.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$275.42
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$912.01
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$190.55

Where Kentucky 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.

Kentucky $151 · 35th 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.