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Donor And Recipient Tissue Crossmatch

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $200 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$141$115 to $162
FacilityA hospital or hospital-owned outpatient department$200$191 to $398

How much rates vary

Facilitymedian $200 · 10th to 90th $123 to $794Professionalmedian $141 · 10th to 90th $76 to $295
$50$200$1K$5Kfacility $200professional $141

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
$141.25
Median
$363.08
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$125.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$93.33
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$281.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$87.10
Typical High
$102.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$95.50
Typical High
$162.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$89.13
Typical High
$398.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$245.47
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$251.19
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$190.55
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$79.43
Typical High
$114.82

Where Virginia sits

The same service costs 3.8 times more in North Dakota than in Connecticut. 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.

Virginia· 23rd of 51

$162

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.