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Mixed Lymphocyte Culture Donor Match Test

Washington 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 July 2026.

How much does Mixed Lymphocyte Culture Donor Match Test cost?

$39.81

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $58.88 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 9 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$34.67$33.11 to $45.71
FacilityA hospital or hospital-owned outpatient department$58.88$38.90 to $112

How much rates vary

Facilitymedian $59 · 10th to 90th $36 to $155Professionalmedian $35 · 10th to 90th $28 to $117
$20.0$50.0$100.0$200.0facility $59professional $35

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
$34.67
Median
$109.65
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$239.88
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$100.00
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.11
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$77.62
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$39.81
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$32.36
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$74.13
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$72.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$64.57
Typical High
$123.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$45.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$54.95
Typical High
$100.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.11
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$43.65
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.88
Typical High
$48.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.05
Typical High
$66.07

Where Washington sits

The same service costs 3.4 times more in Vermont than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington $39.81 · 31st of 51
VT $97.72TN $28.84

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.