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Donor And Recipient Tissue Crossmatch

Illinois rates for HCPCS 86806

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?

$60.26

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $77.62 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$40.74$38.02 to $74.13
FacilityA hospital or hospital-owned outpatient department$77.62$50.12 to $110

How much rates vary

Facilitymedian $78 · 10th to 90th $41 to $204Professionalmedian $41 · 10th to 90th $30 to $110
$5$10$20$50$100$200$500facility $78professional $41

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
$38.90
Median
$74.13
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$40.74
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$128.82
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$28.18
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$109.65
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$54.95
Typical High
$87.10
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$91.20
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$47.86
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$30.20
Typical High
$47.86

Where Illinois sits

The same service costs 2.3 times more in Vermont than in Washington, DC. 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.

Illinois· 11th of 51

$60.26

VT $83.18DC $35.48

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.