go back

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 July 2026.

How much does Donor And Recipient Tissue Crossmatch cost?

$151

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $162 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$151$132 to $151
FacilityA hospital or hospital-owned outpatient department$162$120 to $224

How much rates vary

Facilitymedian $162 · 10th to 90th $79 to $631Professionalmedian $151 · 10th to 90th $43 to $229
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $162professional $151

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
$81.28
Median
$162.18
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$114.82
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$371.54
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$66.07
Typical High
$257.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$91.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$87.10
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$70.79
Typical High
$125.89
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25

Where North Carolina 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.

North Carolina $151 · 33rd 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.