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Rhode Island 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 $25–$280%20%40%90th$25Professionalmedian $20 · 10th–90th $17–$910%10%20%10th90th$20$10.0$20.0$50.0$100.0

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
$16.98 / $20.42 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.22 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.49 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $23.99 / $42.66