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Donor And Recipient Tissue Crossmatch

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $331 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 8 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$191$105 to $191
FacilityA hospital or hospital-owned outpatient department$331$170 to $468

How much rates vary

Facilitymedian $331 · 10th to 90th $100 to $562Professionalmedian $191 · 10th to 90th $50 to $347
$10.0$100.0$1.0K$10.0Kfacility $331professional $191

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
$100.00
Median
$288.40
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$234.42
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$891.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$165.96
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$123.03
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$204.17
Typical High
$489.78
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$416.87
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$323.59
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$398.11
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$891.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$165.96
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$131.83
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$114.82
Typical High
$263.03

Where Massachusetts 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.

Massachusetts $191 · 19th 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.