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Donor And Recipient Tissue Crossmatch

Kentucky 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?

$39.81

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $44.67 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 5 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$39.81$38.02 to $45.71
FacilityA hospital or hospital-owned outpatient department$44.67$38.90 to $69.18

How much rates vary

Facilitymedian $45 · 10th to 90th $38 to $115Professionalmedian $40 · 10th to 90th $28 to $66
$20$50$100$200facility $45professional $40

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
$38.02
Median
$38.90
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.90
Typical High
$213.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$39.81
Typical High
$66.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$66.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$69.18
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$39.81
Typical High
$66.07

Where Kentucky 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.

Kentucky· 45th of 51

$39.81

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.