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Donor And Recipient Tissue Crossmatch

Massachusetts 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?

$53.70

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $117 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$47.86$45.71 to $72.44
FacilityA hospital or hospital-owned outpatient department$117$67.61 to $145

How much rates vary

Facilitymedian $117 · 10th to 90th $46 to $204Professionalmedian $48 · 10th to 90th $40 to $141
$10$50$200$1Kfacility $117professional $48

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
$45.71
Median
$109.65
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$213.80
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$67.61
Typical High
$229.09
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$47.86
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$75.86
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$380.19
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$81.28
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$144.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$67.61
Typical High
$229.09
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$47.86
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$47.86
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$44.67
Typical High
$120.23

Where Massachusetts 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.

Massachusetts· 20th of 51

$53.70

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.