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HLA-DR/DQ Tissue Typing

Illinois rates for HCPCS 86816

Determines which tissue markers of the HLA-DR and HLA-DQ groups a person carries, from a blood sample. These markers differ widely from person to person and are compared between a donor and a recipient before a transplant to judge how well they match. The same typing is also used in the assessment of certain immune conditions.

Rates data updated July 2026.

How much does HLA-DR/DQ Tissue Typing cost?

$36.31

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $47.86 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 6 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$25.70$23.44 to $43.65
FacilityA hospital or hospital-owned outpatient department$47.86$30.90 to $63.10

How much rates vary

Facilitymedian $48 · 10th to 90th $26 to $126Professionalmedian $26 · 10th to 90th $19 to $74
$5$10$20$50$100$200facility $48professional $26

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
$24.55
Median
$46.77
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$25.70
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$64.57
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$20.89
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$37.15
Typical High
$45.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$57.54
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$30.20
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$38.90

Where Illinois sits

The same service costs 2.5 times more in South Dakota than in Maryland. 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.

Illinois· 16th of 51

$36.31

SD $54.95MD $22.39

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.