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Donor And Recipient Tissue Crossmatch

Maine 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?

$47.86

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 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$47.86$36.31 to $47.86
FacilityA hospital or hospital-owned outpatient department$77.62$47.86 to $214

How much rates vary

Facilitymedian $78 · 10th to 90th $48 to $447Professionalmedian $48 · 10th to 90th $25 to $62
$20$50$100$200$500facility $78professional $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
$47.86
Median
$47.86
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.90
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$446.68
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$27.54
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$67.61
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$57.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$213.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$47.86
Typical High
$97.72

Where Maine 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.

Maine· 28th of 51

$47.86

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.