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Michigan 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.

Professionalmedian $21 · 10th–90th $15–$590%10%10th90th$21$10.0$20.0$50.0$100.0$200.0

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.42 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $34.67 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $29.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $26.92 / $69.18
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $25.12 / $46.77