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Donor And Recipient Tissue Crossmatch

South Dakota 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?

$229

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $363 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 6 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$191$141 to $447
FacilityA hospital or hospital-owned outpatient department$363$219 to $363

How much rates vary

Facilitymedian $363 · 10th to 90th $182 to $363Professionalmedian $191 · 10th to 90th $115 to $457
$50.0$100.0$200.0$500.0$1.0Kfacility $363professional $191

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
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$199.53
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$190.55
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$389.05
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$91.20
Typical High
$218.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55

Where South Dakota 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 Dakota $229 · 4th 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.