Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making. When using time for code selection, 41-60 minutes of total time is spent on the date of the consultation.
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $79.43 / $87.10
Facility
$63.10
$79.43
$87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $75.86 / $151.36
Professional
$57.54
$75.86
$151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $91.20 / $204.17
Professional
$38.90
$91.20
$204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $851.14
Facility
$134.90
$190.55
$851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $79.43 / $165.96
Professional
$44.67
$79.43
$165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $501.19
Facility
$46.77
$95.50
$501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $91.20 / $190.55
Professional
$53.70
$91.20
$190.55
See more rates by state
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