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Donor And Recipient Tissue Crossmatch

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $240 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 8 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$126$79.43 to $178
FacilityA hospital or hospital-owned outpatient department$240$191 to $407

How much rates vary

Facilitymedian $240 · 10th to 90th $151 to $427Professionalmedian $126 · 10th to 90th $76 to $316
$50$100$200$500facility $240professional $126

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
$151.36
Median
$323.59
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$218.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$218.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$229.09
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$87.10
Typical High
$269.15
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$234.42
Typical High
$776.25
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$87.10
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$177.83
Typical High
$234.42
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$190.55
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$79.43
Typical High
$190.55

Where Ohio 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.

Ohio· 36th of 51

$151

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.