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Donor And Recipient Tissue Crossmatch

New York 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?

$155

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $282 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 9 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$79.43$38.90 to $162
FacilityA hospital or hospital-owned outpatient department$282$191 to $437

How much rates vary

Facilitymedian $282 · 10th to 90th $112 to $525Professionalmedian $79 · 10th to 90th $39 to $269
$20$50$100$200$500$1Kfacility $282professional $79

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
$123.03
Median
$302.00
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$275.42
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$190.55
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$407.38
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$131.83
Typical High
$912.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$190.55
Typical High
$426.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$371.54
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$199.53
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$257.04
Typical High
$1,000.00
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$190.55
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$97.72
Typical High
$316.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$162.18
Typical High
$218.78
Univera
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$162.18
Typical High
$229.09

Where New York sits

The same service costs 3.8 times more in North Dakota than in Connecticut. 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.

New York· 28th of 51

$155

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.