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North Carolina rates for HCPCS 80500

Clinical pathology consultation; limited, without review of patient's history and medical records

Facilitymedian $89 · 10th–90th $89–$1000%20%40%90th$89Professionalmedian $23 · 10th–90th $12–$1200%10%10th90th$23$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.50 / $38.90
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $707.95 / $707.95