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HLA-DR/DQ Tissue Typing

Maine 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?

$30.20

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $48.98 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$30.20$22.91 to $30.20
FacilityA hospital or hospital-owned outpatient department$48.98$30.20 to $135

How much rates vary

Facilitymedian $49 · 10th to 90th $30 to $263Professionalmedian $30 · 10th to 90th $15 to $36
$10$20$50$100$200facility $49professional $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
$30.20
Median
$30.20
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$263.03
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$36.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$134.90
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$30.20
Typical High
$57.54

Where Maine 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.

Maine· 29th of 51

$30.20

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.