Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making. When using time for code selection, 21-40 minutes of total time is spent on the date of the consultation.
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $43.65 / $48.98
Facility
$33.11
$43.65
$48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $40.74 / $91.20
Professional
$30.90
$40.74
$91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $47.86 / $112.20
Professional
$21.38
$47.86
$112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $79.43 / $467.74
Facility
$54.95
$79.43
$467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $42.66 / $91.20
Professional
$23.99
$42.66
$91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $51.29 / $501.19
Facility
$25.12
$51.29
$501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $102.33
Professional
$28.18
$48.98
$102.33
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