go back

HLA-DR/DQ Tissue Typing

Utah 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?

$30.20

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $191 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 6 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$28.18$23.44 to $34.67
FacilityA hospital or hospital-owned outpatient department$191$35.48 to $191

How much rates vary

Facilitymedian $191 · 10th to 90th $35 to $251Professionalmedian $28 · 10th to 90th $22 to $35
$20$50$100$200facility $191professional $28

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
$35.48
Median
$190.55
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$26.92
Select Health
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$30.20
Typical High
$38.90
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.20
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.60
Typical High
$38.90

Where Utah 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.

Utah· 27th of 51

$30.20

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.