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Donor And Recipient Tissue Crossmatch

New York 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 New York, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $83.18 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 9 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$37.15$35.48 to $50.12
FacilityA hospital or hospital-owned outpatient department$83.18$48.98 to $112

How much rates vary

Facilitymedian $83 · 10th to 90th $41 to $132Professionalmedian $37 · 10th to 90th $23 to $98
$20$50$100$200$500facility $83professional $37

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
$40.74
Median
$83.18
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.02
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$24.55
Typical High
$123.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$47.86
Typical High
$47.86
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$117.49
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$67.61
Typical High
$316.23
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$54.95
Typical High
$107.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.11
Typical High
$93.33
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$63.10
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$89.13
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$67.61
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$57.54
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.11
Typical High
$107.15
Univera
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$141.25
Univera
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$162.18

Where New York 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.

New York· 30th 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.