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Donor And Recipient Tissue Crossmatch

North Carolina 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?

$95.50

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $151 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$37.15 to $145
FacilityA hospital or hospital-owned outpatient department$151$135 to $372

How much rates vary

Facilitymedian $151 · 10th to 90th $87 to $871Professionalmedian $79 · 10th to 90th $35 to $151
$10$20$50$100$200$500$1Kfacility $151professional $79

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
Facility
Modifier
None
Typical Low
$81.28
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$416.87
Typical High
$602.56
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$416.87
Typical High
$870.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$66.07
Typical High
$223.87
Medcost
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$91.20
Typical High
$91.20
Medcost
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$151.36
Typical High
$190.55
Medcost
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$74.13
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$48.98
Typical High
$128.82

Where North Carolina 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.

North Carolina· 45th of 51

$95.50

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.