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Donor And Recipient Tissue Crossmatch

New Jersey 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?

$107

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $219 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 5 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$53.70$38.90 to $151
FacilityA hospital or hospital-owned outpatient department$219$39.81 to $603

How much rates vary

Facilitymedian $219 · 10th to 90th $34 to $1,349Professionalmedian $54 · 10th to 90th $15 to $162
$10.0$100.0$1.0K$10.0Kfacility $219professional $54

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
$33.88
Median
$107.15
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$51.29
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$416.87
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$104.71
Typical High
$229.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$112.20
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$114.82
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$190.55
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$91.20
Typical High
$131.83

Where New Jersey 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.

New Jersey $107 · 49th 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.