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Donor And Recipient Tissue Crossmatch

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $355 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$151$115 to $178
FacilityA hospital or hospital-owned outpatient department$355$214 to $380

How much rates vary

Facilitymedian $355 · 10th to 90th $66 to $468Professionalmedian $151 · 10th to 90th $66 to $219
$50.0$100.0$200.0$500.0$1.0Kfacility $355professional $151

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
$66.07
Median
$354.81
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$151.36
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$89.13
Typical High
$269.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$218.78
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$169.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$245.47
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$165.96
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$79.43
Typical High
$114.82

Where Utah 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.

Utah $162 · 26th 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.