go back

Donor And Recipient Tissue Crossmatch

South 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 South Carolina, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $263 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$148$148 to $151
FacilityA hospital or hospital-owned outpatient department$263$148 to $468

How much rates vary

Facilitymedian $263 · 10th to 90th $132 to $603Professionalmedian $148 · 10th to 90th $98 to $200
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $263professional $148

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
$131.83
Median
$467.74
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$245.47
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$190.55
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$85.11
Typical High
$218.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$79.43
Typical High
$173.78

Where South 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.

South Carolina $151 · 31st 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.