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Idaho 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 $29 · 10th–90th $16$490%10%10th90th$29Professionalmedian $21 · 10th–90th $13$480%10%20%10th90th$21$20.0$50.0

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $20.42 / $21.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $28.84 / $48.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.88 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $39.81 / $46.77
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $27.54