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HLA-DR/DQ Tissue Typing

Montana 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?

$40.74

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $38.90 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$38.90$34.67 to $87.10
FacilityA hospital or hospital-owned outpatient department$47.86$38.02 to $87.10

How much rates vary

Facilitymedian $48 · 10th to 90th $38 to $214Professionalmedian $39 · 10th to 90th $27 to $200
$100$1K$10K$100Kfacility $48professional $39

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
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$46,773.51
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$91.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$38.90

Where Montana 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.

Montana· 8th of 51

$40.74

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.