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HLA-DR/DQ Tissue Typing

Massachusetts 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?

$35.48

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $67.61 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 8 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$30.20$28.18 to $45.71
FacilityA hospital or hospital-owned outpatient department$67.61$41.69 to $89.13

How much rates vary

Facilitymedian $68 · 10th to 90th $26 to $129Professionalmedian $30 · 10th to 90th $25 to $87
$20$50$100$200$500$1K$2Kfacility $68professional $30

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
$26.30
Median
$69.18
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.18
Typical High
$125.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$38.90
Typical High
$302.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$30.20
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$37.15
Typical High
$45.71
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$229.09
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$51.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$85.11
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$38.90
Typical High
$302.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$30.20
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$30.20
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$30.20
Typical High
$70.79

Where Massachusetts 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.

Massachusetts· 17th of 51

$35.48

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.