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Pathologist Consultation On A Complex Lab Result

Maryland 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?

$41.69

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $41.69 for this service. Most negotiated rates run $37.15 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $42 · 10th to 90th $31 to $56
$20$50$100professional $42

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$41.69
Typical High
$44.67
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$28.18
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$93.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$81.28

Where Maryland 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.

Maryland· 33rd of 51

$41.69

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.