go back

HLA-DR/DQ Tissue Typing

Virginia 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?

$26.30

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $32.36 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$22.39$22.39 to $26.30
FacilityA hospital or hospital-owned outpatient department$32.36$30.20 to $69.18

How much rates vary

Facilitymedian $32 · 10th to 90th $26 to $158Professionalmedian $22 · 10th to 90th $14 to $72
$20$100$500$2K$10Kfacility $32professional $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
$26.30
Median
$69.18
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$23.44
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$22.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$44.67
Medcost
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$46.77
Typical High
$54.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$25.12
Typical High
$26.92
Medcost
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$56.23
Typical High
$63.10
Sentara
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$40.74
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$40.74
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$30.20
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.98
Typical High
$30.20

Where Virginia 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.

Virginia· 37th of 51

$26.30

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.