Pathologist Consultation On A Complex Lab Result

Delaware rates for HCPCS 80504

This is a pathologist's professional service reviewing an unusual, unexpected, or hard-to-interpret laboratory result and providing expert clinical guidance directly to the treating doctor about what it likely means and how it might affect the patient's care. It is a consultation about test results and their interpretation, not the hands-on examination of a tissue sample under a microscope. It typically happens behind the scenes, without direct involvement of the patient.

Rates data updated July 2026.

How much does Pathologist Consultation On A Complex Lab Result cost?

$33.88

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $33.88 for this service. Most negotiated rates run $29.51 to $44.67.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $34 · 10th to 90th $28 to $145

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $27.54 Median $33.88 Typical High $144.54	Professional	Global	$27.54	$33.88	$144.54
Cigna Setting Professional Modifier Global Typical Low $22.39 Median $30.20 Typical High $72.44	Professional	Global	$22.39	$30.20	$72.44
United Setting Professional Modifier Global Typical Low $33.11 Median $51.29 Typical High $112.20	Professional	Global	$33.11	$51.29	$112.20

Where Delaware sits

The same service costs 3.0 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Delaware· 51st of 51

$33.88

MN $102DE $33.88

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.