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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 July 2026.

How much does Donor And Recipient Tissue Crossmatch cost?

$234

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $257 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 6 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$234$191 to $372
FacilityA hospital or hospital-owned outpatient department$257$191 to $562

How much rates vary

Facilitymedian $257 · 10th to 90th $93 to $1,175Professionalmedian $234 · 10th to 90th $79 to $1,259
$100.0$1.0K$10.0K$100.0Kfacility $257professional $234

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
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$46,773.51
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$218.78
Typical High
$275.42
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$234.42
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$234.42
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$371.54
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$79.43
Typical High
$114.82

Where Montana 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.

Montana $234 · 2nd 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.