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HLA-DR/DQ Tissue Typing

New York 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?

$26.92

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $50.12 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 9 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$22.91$20.89 to $30.20
FacilityA hospital or hospital-owned outpatient department$50.12$30.90 to $69.18

How much rates vary

Facilitymedian $50 · 10th to 90th $26 to $83Professionalmedian $23 · 10th to 90th $14 to $54
$20$50$100$200facility $50professional $23

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
$25.70
Median
$52.48
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.99
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.98
Typical High
$69.18
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$30.20
Typical High
$30.20
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$35.48
Typical High
$83.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.89
Typical High
$58.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.20
Typical High
$37.15
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$56.23
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$46.77
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$36.31
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$22.91
Typical High
$67.61
Univera
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$34.67
Typical High
$89.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$31.62
Typical High
$102.33

Where New York 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 York· 35th of 51

$26.92

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.