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Pathology Consultation, Brief Review

West Virginia rates for HCPCS 80503

This service covers a pathologist's consultation on a specific clinical question about a patient, involving a limited review of the person's history and records. It applies to a relatively straightforward situation that does not require extensive additional analysis. The pathologist provides their professional opinion to help guide the treating clinician's decisions.

Rates data updated July 2026.

How much does Pathology Consultation, Brief Review cost?

$19.50

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $19.50 for this service. Most negotiated rates run $16.98 to $21.38.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40 · 10th to 90th $23 to $40Professionalmedian $19 · 10th to 90th $14 to $24
$10.0$20.0$50.0$100.0facility $40professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.50
Typical High
$23.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$27.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$28.18
Typical High
$125.89
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.62
Typical High
$40.74

Where West Virginia sits

The same service costs 3.5 times more in South Dakota than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $19.50 · 43rd of 51
SD $58.88FL $16.98

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.