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Donor And Recipient Tissue Crossmatch

Wisconsin 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?

$204

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $331 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 12 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$75.86 to $347
FacilityA hospital or hospital-owned outpatient department$331$170 to $525

How much rates vary

Facilitymedian $331 · 10th to 90th $95 to $537Professionalmedian $191 · 10th to 90th $76 to $603
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $331professional $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
$229.09
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$588.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$588.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$257.04
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$169.82
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$114.82
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$70.79
Typical High
$190.55
Network Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$295.12
Network Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$537.03
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$239.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$446.68
Typical High
$630.96
Quartz
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$891.25
Typical High
$891.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$478.63
Security Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$407.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$208.93
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$151.36
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$114.82
Typical High
$309.03

Where Wisconsin 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.

Wisconsin $204 · 10th 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.