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Pathologist Consultation On A Complex Lab Result

Idaho 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?

$89.13

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $67.61 to $95.50.

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 $59 · 10th to 90th $33 to $98Professionalmedian $89 · 10th to 90th $39 to $98
$50$100facility $59professional $89

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
$38.90
Median
$89.13
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$41.69
Typical High
$42.66
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$58.88
Typical High
$97.72
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$31.62
Typical High
$54.95

Where Idaho 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.

Idaho· 4th of 51

$89.13

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.