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Donor And Recipient Tissue Crossmatch

Maine 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?

$115

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $75.86 to $191.

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.

How much rates vary

Facilitymedian $240 · 10th to 90th $182 to $525Professionalmedian $102 · 10th to 90th $56 to $155
$50$100$200$500$1Kfacility $240professional $102

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
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$251.19
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$85.11
Typical High
$114.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$74.13
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$190.55
Typical High
$190.55
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$114.82
Typical High
$190.55
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$107.15
Typical High
$125.89

Where Maine 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.

Maine· 37th of 51

$115

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.