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Pathologist Consultation On A Complex Lab Result

Rhode Island 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?

$38.90

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $38.90 for this service. Most negotiated rates run $36.31 to $40.74.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $49 · 10th to 90th $49 to $55Professionalmedian $39 · 10th to 90th $35 to $54
$50facility $49professional $39

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
$36.31
Median
$36.31
Typical High
$40.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.90
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$51.29
Typical High
$85.11

Where Rhode Island 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.

Rhode Island· 45th of 51

$38.90

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.