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HLA-DR/DQ Tissue Typing

Vermont 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?

$48.98

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $240 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 5 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$48.98$48.98 to $48.98
FacilityA hospital or hospital-owned outpatient department$240$214 to $309

How much rates vary

Facilitymedian $240 · 10th to 90th $10 to $479Professionalmedian $49 · 10th to 90th $35 to $49
$10$20$50$100$200$500facility $240professional $49

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$37.15
Typical High
$75.86

Where Vermont 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.

Vermont· 3rd of 51

$48.98

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.