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Pathologist Consultation On A Complex Lab Result

Tennessee 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?

$39.81

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $39.81 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 $295 · 10th to 90th $26 to $295Professionalmedian $40 · 10th to 90th $26 to $74
$50$100$200facility $295professional $40

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
$33.88
Median
$39.81
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$26.30
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$28.18
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$29.51
Typical High
$77.62
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$97.72

Where Tennessee 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.

Tennessee· 41st of 51

$39.81

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.