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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 October 2026.

How much does Donor And Recipient Tissue Crossmatch cost?

$132

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $219 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$66.07 to $155
FacilityA hospital or hospital-owned outpatient department$219$66.07 to $447

How much rates vary

Facilitymedian $219 · 10th to 90th $66 to $537Professionalmedian $115 · 10th to 90th $54 to $191
$50$100$200$500$1Kfacility $219professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$354.81
Typical High
$467.74
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$177.83
Typical High
$234.42
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$70.79
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$190.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$33.11
Typical High
$95.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$13.18
Typical High
$38.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$204.17
Typical High
$537.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$89.13
Typical High
$218.78
Molina
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$190.55
Typical High
$263.03
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$218.78
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$144.54
Typical High
$169.82
Select Health
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Select Health
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$190.55
Typical High
$245.47
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$144.54
Typical High
$281.84
United
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$79.43
Typical High
$114.82

Where Utah sits

The same service costs 11.2 times more in Alaska than in Alabama. 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.

Utah· 30th of 51

$132

AK $427AL $38.02

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.