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HLA-DR/DQ Tissue Typing

West 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?

$23.99

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $38.02 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$23.99$22.39 to $24.55
FacilityA hospital or hospital-owned outpatient department$38.02$24.55 to $45.71

How much rates vary

Facilitymedian $38 · 10th to 90th $25 to $46Professionalmedian $24 · 10th to 90th $17 to $26
$20$50facility $38professional $24

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
$24.55
Median
$38.02
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$23.99
Typical High
$26.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.98
Typical High
$38.90

Where West 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.

West Virginia· 48th of 51

$23.99

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.