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Donor And Recipient Tissue Crossmatch

Pennsylvania 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?

$162

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $275 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$155$148 to $162
FacilityA hospital or hospital-owned outpatient department$275$162 to $479

How much rates vary

Facilitymedian $275 · 10th to 90th $89 to $562Professionalmedian $155 · 10th to 90th $15 to $288
$10.0$100.0$1.0K$10.0Kfacility $275professional $155

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
$89.13
Median
$288.40
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$154.88
Typical High
$446.68
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$257.04
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$107.15
Typical High
$281.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$275.42
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$131.83
Typical High
$331.13
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$281.84
Typical High
$645.65
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$562.34
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$186.21
Typical High
$338.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$165.96
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$190.55
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$85.11
Typical High
$229.09

Where Pennsylvania 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.

Pennsylvania $162 · 24th 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.