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Georgia rates for HCPCS 80503

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.

Facilitymedian $27 · 10th–90th $27–$270%50%100%$27Professionalmedian $22 · 10th–90th $13–$450%20%10th90th$22$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $26.30 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.14 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $28.18 / $60.26
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $23.99 / $54.95