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Minnesota rates for HCPCS 80505

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.

Facilitymedian $87 · 10th–90th $83–$6760%20%40%10th90th$87Professionalmedian $126 · 10th–90th $71–$2950%10%10th90th$126$50.0$100.0$200.0$500.0

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $81.28 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $239.88 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $707.95 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $134.90 / $208.93
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $676.08 / $676.08
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $117.49 / $165.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $154.88 / $269.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $177.83 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $186.21 / $323.59