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Donor And Recipient Tissue Crossmatch

Vermont 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?

$102

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $407 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$83.18 to $219
FacilityA hospital or hospital-owned outpatient department$407$316 to $891

How much rates vary

Facilitymedian $407 · 10th to 90th $191 to $933Professionalmedian $91 · 10th to 90th $44 to $263
$50$100$200$500$1Kfacility $407professional $91

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$891.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$91.20
Typical High
$269.15
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$114.82
Typical High
$263.03

Where Vermont 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.

Vermont· 41st of 51

$102

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.