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Donor And Recipient Tissue Crossmatch

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $89.13 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$38.90$37.15 to $44.67
FacilityA hospital or hospital-owned outpatient department$89.13$57.54 to $141

How much rates vary

Facilitymedian $89 · 10th to 90th $41 to $219Professionalmedian $39 · 10th to 90th $15 to $83
$20$50$100$200facility $89professional $39

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
$89.13
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$38.90
Typical High
$112.20
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$72.44
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$60.26
Typical High
$114.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$69.18
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$83.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$89.13
Typical High
$177.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.90
Typical High
$141.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$162.18
Typical High
$338.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$47.86
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.84
Typical High
$70.79

Where Pennsylvania 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.

Pennsylvania· 33rd 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.