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HLA-DR/DQ Tissue Typing

Pennsylvania 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?

$28.18

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $70.79 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 8 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$24.55$23.99 to $28.18
FacilityA hospital or hospital-owned outpatient department$70.79$36.31 to $89.13

How much rates vary

Facilitymedian $71 · 10th to 90th $26 to $158Professionalmedian $25 · 10th to 90th $21 to $54
$20$50$100$200facility $71professional $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
$25.70
Median
$70.79
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$24.55
Typical High
$70.79
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$43.65
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$52.48
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$70.79
Typical High
$112.20
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.12
Typical High
$89.13
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$218.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$30.20
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$22.91
Typical High
$48.98

Where Pennsylvania 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.

Pennsylvania· 33rd of 51

$28.18

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.