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Virginia rates for HCPCS 80506

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

Professionalmedian $32 · 10th–90th $17–$580%10%10th90th$32$0.5$2.0$10.0$50.0

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 / $34.67 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $34.67
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $38.02 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $57.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $47.86 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $44.67 / $89.13