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HLA-DR/DQ Tissue Typing

New Jersey 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?

$33.11

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $63.10 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$25.12$21.38 to $33.11
FacilityA hospital or hospital-owned outpatient department$63.10$41.69 to $174

How much rates vary

Facilitymedian $63 · 10th to 90th $30 to $380Professionalmedian $25 · 10th to 90th $21 to $79
$100$1K$10Kfacility $63professional $25

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
$38.90
Median
$63.10
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.70
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$37.15
Typical High
$45.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$31.62
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$26.30
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$30.20
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$41.69

Where New Jersey 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.

New Jersey· 23rd of 51

$33.11

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.