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Utah 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–$320%10%20%10th90th$21$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $24.55 / $50.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $54.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $33.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $33.11 / $45.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.88 / $41.69