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?
$40.74
Typical negotiated rate. In New Jersey, July 2026.
Insurers have agreed to pay about $40.74 for this service. Most negotiated rates run $33.88 to $47.86.
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 5 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $16,218 · 10th to 90th $13,804 to $16,218Professionalmedian $41 · 10th to 90th $30 to $69
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$40.74
Typical High
$48.98
Professional
Global
$29.51
$40.74
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$46.77
Typical High
$83.18
Professional
Global
$26.92
$46.77
$83.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$74.13
Professional
Global
$38.02
$53.70
$74.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$16,218.10
Typical High
$16,218.10
Facility
Global
$13,803.84
$16,218.10
$16,218.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$57.54
Typical High
$100.00
Professional
Global
$34.67
$57.54
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$36.31
Typical High
$67.61
Professional
Global
$19.95
$36.31
$67.61
Where New Jersey 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.