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Detailed Pathologist Opinion On A Complex Case

California rates for HCPCS 80502

A pathologist gives a detailed written opinion on a complicated diagnostic problem at the request of the treating doctor, going through the patient's history and medical records alongside the laboratory findings. The opinion sets out what the results point to and what further testing may help.

Rates data updated October 2026.

How much does Detailed Pathologist Opinion On A Complex Case cost?

$355

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $355 for this service. Most negotiated rates run $355 to $355.

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.

How much rates vary

Professionalmedian $355 · 10th to 90th $93 to $355
$50$100$200professional $355

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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$66.07
Typical High
$158.49

Where California sits

The same service costs 17.8 times more in Texas than in New York. 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.

California· 2nd of 39

$355

TX $355NY $19.95

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.