go back

Detailed Pathologist Opinion On A Complex Case

Michigan 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 July 2026.

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

$85.11

Typical facility fee. In Michigan, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $74.13 to $85.11.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $74 · 10th to 90th $74 to $74Professionalmedian $85 · 10th to 90th $85 to $107
$100facility $74professional $85

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$107.15
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Michigan sits

The same service costs 11.7 times more in Nebraska than in South Carolina. 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.

Michigan· 28th of 39

$85.11

NE $355SC $30.20

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.