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Pathologist Consultation On A Complex Lab Result

New Mexico 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?

$56.23

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $56.23 for this service. Most negotiated rates run $37.15 to $67.61.

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 $51 · 10th to 90th $39 to $89Professionalmedian $56 · 10th to 90th $33 to $95
$50$100$200facility $51professional $56

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
$56.23
Median
$61.66
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$83.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$89.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$95.50

Where New Mexico 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.

New Mexico· 15th of 51

$56.23

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.