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Mixed Lymphocyte Culture Donor Match Test

Utah rates for HCPCS 86821

A laboratory test that mixes white blood cells from two people, usually someone awaiting a transplant and a possible donor, and measures how strongly one set of cells reacts against the other. A strong reaction points to a poorer immune match between them.

Rates data updated October 2026.

How much does Mixed Lymphocyte Culture Donor Match Test cost?

$41.69

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $70.79 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.88$25.12 to $70.79
FacilityA hospital or hospital-owned outpatient department$70.79$41.69 to $389

How much rates vary

Facilitymedian $71 · 10th to 90th $40 to $501Professionalmedian $34 · 10th to 90th $17 to $71
$20$50$100$200$500facility $71professional $34

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$389.05
Typical High
$501.19
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$190.55
Typical High
$251.19
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$14.45
Median
$77.62
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$66.07
Typical High
$70.79
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$12.02
Median
$33.11
Typical High
$35.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.90
Median
$13.18
Typical High
$14.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$39.81
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$35.48
Typical High
$52.48
Molina
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$63.10
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$41.69
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$30.90
Typical High
$52.48
Select Health
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Select Health
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$36.31
Typical High
$47.86
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$60.26
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$21.88
Typical High
$33.88

Where Utah sits

The same service costs 10.2 times more in Kansas than in Alabama. 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· 26th of 51

$41.69

KS $158AL $15.49

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.