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HLA-DR/DQ Tissue Typing

New Mexico 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?

$36.31

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $97.72 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$22.39$22.39 to $36.31
FacilityA hospital or hospital-owned outpatient department$97.72$45.71 to $214

How much rates vary

Facilitymedian $98 · 10th to 90th $29 to $251Professionalmedian $22 · 10th to 90th $17 to $200
$10$100$1K$10K$100Kfacility $98professional $22

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
$45.71
Median
$91.20
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$36.31
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$165.96
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$48.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$39.81
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$30.20
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.60
Typical High
$22.39

Where New Mexico 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 Mexico· 12th of 51

$36.31

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.