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New York 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 $30 · 10th–90th $13–$400%20%10th90th$30Professionalmedian $20 · 10th–90th $12–$510%10%20%10th90th$20$0.2$2.0$20.0$200.0$2.0K$20.0K

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 / $20.42 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $61.66
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $31.62 / $31.62
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $31.62 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $28.18 / $69.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $38.02
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.99 / $45.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $19.95 / $48.98
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.99 / $45.71