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Minnesota 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 $25 · 10th–90th $20$1910%20%10th90th$25Professionalmedian $38 · 10th–90th $18$790%5%10%10th90th$38$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
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $63.10 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $199.53 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $56.23
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $190.55 / $190.55
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $42.66 / $67.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $52.48 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $53.70 / $95.50