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HLA-DR/DQ Tissue Typing

Rhode Island 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?

$34.67

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $83.18 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 4 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$28.84$22.39 to $28.84
FacilityA hospital or hospital-owned outpatient department$83.18$38.02 to $174

How much rates vary

Facilitymedian $83 · 10th to 90th $35 to $178Professionalmedian $29 · 10th to 90th $20 to $55
$20$50$100facility $83professional $29

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
$112.20
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.39
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$38.90
Typical High
$54.95

Where Rhode Island 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.

Rhode Island· 21st of 51

$34.67

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.