go back

Wisconsin 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 $151 · 10th–90th $79–$3390%10%20%10th90th$151Professionalmedian $110 · 10th–90th $76–$3310%10%10th90th$110$5.0$20.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $87.10 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $263.03 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $338.84 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $102.33 / $263.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $109.65 / $269.15
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $257.04 / $288.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $269.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $131.83 / $588.84
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $151.36
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $208.93 / $275.42
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $138.04 / $588.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $194.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $489.78 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $91.20 / $263.03