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South Carolina 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 $21 · 10th–90th $16–$320%10%20%10th90th$21Professionalmedian $20 · 10th–90th $16–$910%20%10th90th$20$0.2$1.0$5.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.18 / $32.36
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $20.89 / $32.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $23.44 / $56.23