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HLA-DR/DQ Tissue Typing

Kentucky 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?

$23.99

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $26.92 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$23.99$22.91 to $27.54
FacilityA hospital or hospital-owned outpatient department$26.92$24.55 to $38.02

How much rates vary

Facilitymedian $27 · 10th to 90th $25 to $72Professionalmedian $24 · 10th to 90th $18 to $42
$20$50$100$200$500facility $27professional $24

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
$24.55
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$24.55
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$30.20
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$22.91
Typical High
$38.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$42.66
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$30.20
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$23.44
Typical High
$38.90

Where Kentucky 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.

Kentucky· 49th of 51

$23.99

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.