go back

Wisconsin 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 $37 · 10th–90th $20–$950%5%10%10th90th$37Professionalmedian $32 · 10th–90th $18–$1260%5%10%10th90th$32$5.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.12 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $69.18 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $95.50 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $26.92 / $64.57
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $30.90 / $75.86
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $64.57 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $30.90 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $37.15 / $165.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $58.88 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.02 / $42.66
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $53.70 / $77.62
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $138.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $36.31 / $165.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $54.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $112.20 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $41.69 / $95.50