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Pennsylvania rates for HCPCS 80506

Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure)

Professionalmedian $34 · 10th–90th $26–$740%20%10th90th$34$10.0$20.0$50.0$100.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $173.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $43.65 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $34.67 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $41.69 / $63.10
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $48.98 / $79.43
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $38.90
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $79.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $46.77 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $43.65 / $72.44