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Pathologist Consultation On A Complex Lab Result

Utah 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?

$45.71

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $45.71 for this service. Most negotiated rates run $41.69 to $61.66.

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

Professionalmedian $46 · 10th to 90th $33 to $91
$50$100professional $46

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$51.29
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$107.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$56.23
Typical High
$64.57
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$91.20

Where Utah 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.

Utah· 25th of 51

$45.71

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.