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Pathologist Consultation On A Complex Lab Result

Missouri 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?

$44.67

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $44.67 for this service. Most negotiated rates run $34.67 to $60.26.

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

Facilitymedian $46 · 10th to 90th $40 to $91Professionalmedian $45 · 10th to 90th $29 to $91
$50$100$200facility $46professional $45

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
$38.90
Median
$44.67
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$31.62
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$81.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$91.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$70.79
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$104.71

Where Missouri 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.

Missouri· 28th of 51

$44.67

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.