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Donor And Recipient Tissue Crossmatch

North Carolina 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?

$38.02

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $47.86 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$38.02$38.02 to $42.66
FacilityA hospital or hospital-owned outpatient department$47.86$38.02 to $105

How much rates vary

Facilitymedian $48 · 10th to 90th $33 to $158Professionalmedian $38 · 10th to 90th $32 to $63
$20$50$100$200facility $48professional $38

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
$45.71
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$33.11
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$93.33
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$72.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$83.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$93.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$91.20
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$60.26
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.11
Typical High
$66.07
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09

Where North Carolina 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.

North Carolina· 49th of 51

$38.02

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.