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Tissue Typing For Multiple HLA Markers

Vermont rates for HCPCS 86813

A blood test that identifies several of the inherited markers on the surface of a person's cells that the immune system uses to tell its own tissue from foreign tissue. Matching these markers between a donor and a recipient is a central step in planning a transplant.

Rates data updated July 2026.

How much does Tissue Typing For Multiple HLA Markers cost?

$102

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $447 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 5 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$102$102 to $102
FacilityA hospital or hospital-owned outpatient department$447$57.54 to $977

How much rates vary

Facilitymedian $447 · 10th to 90th $20 to $1,023Professionalmedian $102 · 10th to 90th $66 to $102
$20$50$100$200$500$1Kfacility $447professional $102

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$83.18
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$72.44
Typical High
$158.49

Where Vermont sits

The same service costs 2.5 times more in South Dakota 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.

Vermont· 3rd of 51

$102

SD $107DC $43.65

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.