go back

Donor And Recipient Tissue Crossmatch

Ohio 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?

$44.67

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $66.07 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$38.02$28.18 to $47.86
FacilityA hospital or hospital-owned outpatient department$66.07$47.86 to $105

How much rates vary

Facilitymedian $66 · 10th to 90th $38 to $115Professionalmedian $38 · 10th to 90th $23 to $107
$20$50$100facility $66professional $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
$38.90
Median
$85.11
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$40.74
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$29.51
Typical High
$61.66
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$54.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$61.66
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$91.20
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$63.10
Typical High
$194.98
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$44.67
Typical High
$58.88
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$50.12
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$47.86
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.84
Typical High
$66.07

Where Ohio 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.

Ohio· 34th of 51

$44.67

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.