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Quick Blood Compatibility Test Before Transfusion

Illinois rates for HCPCS 86920

This is a rapid laboratory step used to check compatibility between a patient's blood and a specific unit of donor blood before a transfusion. It is one of the checks performed as part of pre-transfusion testing.

Rates data updated July 2026.

How much does Quick Blood Compatibility Test Before Transfusion cost?

$83.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $126 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 7 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$28.84$22.91 to $36.31
FacilityA hospital or hospital-owned outpatient department$126$57.54 to $166

How much rates vary

Facilitymedian $126 · 10th to 90th $37 to $209Professionalmedian $29 · 10th to 90th $17 to $72
$10$20$50$100$200$500facility $126professional $29

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
$37.15
Median
$128.82
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$154.88
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$61.66
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$30.20
Typical High
$38.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$186.21
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.45
Typical High
$15.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$4.57
Typical High
$4.90
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$144.54
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$15.85
Typical High
$30.20

Where Illinois sits

The same service costs 6.8 times more in West Virginia than in Oklahoma. 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.

Illinois· 5th of 51

$83.18

WV $148OK $21.88

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.