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Donor And Recipient Tissue Crossmatch

West Virginia 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?

$38.90

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $58.88 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$38.02$35.48 to $38.90
FacilityA hospital or hospital-owned outpatient department$58.88$38.90 to $70.79

How much rates vary

Facilitymedian $59 · 10th to 90th $39 to $71Professionalmedian $38 · 10th to 90th $24 to $45
$20$50$100$200facility $59professional $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
$58.88
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.02
Typical High
$44.67
CareSource
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
CareSource
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$91.20
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$21.38
Typical High
$66.07

Where West Virginia 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.

West Virginia· 46th of 51

$38.90

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.