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Donor And Recipient Tissue Crossmatch

Rhode Island 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?

$54.95

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $141 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 4 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$50.12$35.48 to $50.12
FacilityA hospital or hospital-owned outpatient department$141$60.26 to $275

How much rates vary

Facilitymedian $141 · 10th to 90th $56 to $302Professionalmedian $50 · 10th to 90th $30 to $93
$10$20$50$100$200facility $141professional $50

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
$77.62
Median
$190.55
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$114.82
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$39.81
Typical High
$93.33

Where Rhode Island 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.

Rhode Island· 16th of 51

$54.95

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.