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Donor And Recipient Tissue Crossmatch

Montana 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?

$275

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $324 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$219$79.43 to $275
FacilityA hospital or hospital-owned outpatient department$324$275 to $355

How much rates vary

Facilitymedian $324 · 10th to 90th $209 to $437Professionalmedian $219 · 10th to 90th $72 to $339
$50$100$200$500$1Kfacility $324professional $219

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
$218.78
Median
$218.78
Typical High
$218.78
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$660.69
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$281.84
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$275.42
Typical High
$275.42
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$323.59
Typical High
$380.19
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$281.84
Typical High
$346.74
Providence
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$562.34
Providence
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$79.43
Typical High
$190.55

Where Montana 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.

Montana· 2nd of 51

$275

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.