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Pathologist Consultation On A Complex Lab Result

Florida 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?

$34.67

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $34.67 for this service. Most negotiated rates run $33.11 to $41.69.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66 · 10th to 90th $21 to $138Professionalmedian $35 · 10th to 90th $30 to $49
$20$50$100facility $66professional $35

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
$29.51
Median
$34.67
Typical High
$45.71
AvMed
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$39.81
Typical High
$83.18
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$60.26
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$66.07
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$112.20
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38

Where Florida 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.

Florida· 50th of 51

$34.67

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.