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Minnesota rates for HCPCS 80504

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.

Facilitymedian $49 · 10th–90th $44–$3720%10%20%10th90th$49Professionalmedian $71 · 10th–90th $38–$1620%5%10%10th90th$71$20.0$50.0$100.0$200.0$500.0

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $125.89 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $389.05 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $72.44 / $114.82
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $371.54 / $371.54
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $64.57 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $85.11 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $97.72 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $100.00 / $173.78