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Pathologist Consultation On A Complex Lab Result

Nebraska 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?

$52.48

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $33.11 to $79.43.

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 $74 · 10th to 90th $30 to $135Professionalmedian $52 · 10th to 90th $30 to $105
$50$100$200facility $74professional $52

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
$33.11
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$33.11
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$117.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$109.65

Where Nebraska 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.

Nebraska· 17th of 51

$52.48

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.