Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making. When using time for code selection, 5-20 minutes of total time is spent on the date of the consultation.
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $39.81
Facility
$17.38
$22.39
$39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $48.98
Professional
$15.14
$19.95
$48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $22.39 / $54.95
Professional
$10.72
$22.39
$54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $39.81 / $239.88
Facility
$26.92
$39.81
$239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $20.89 / $44.67
Professional
$11.22
$20.89
$44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $26.30 / $151.36
Facility
$13.18
$26.30
$151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $23.44 / $54.95
Professional
$13.80
$23.44
$54.95
See more rates by state
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