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Comprehensive Second-Opinion Pathology Review

Washington rates for HCPCS 88325

A pathologist conducts an in-depth review of medical records along with previously prepared tissue slides or specimens that were sent from another facility, then provides a detailed written report of their findings. This is typically requested for a second opinion on a complex or serious diagnosis, or before starting specialized treatment. It draws on material that was already prepared elsewhere, rather than newly obtained tissue.

Rates data updated July 2026.

How much does Comprehensive Second-Opinion Pathology Review cost?

$195

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $309 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 10 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$132 to $288
FacilityA hospital or hospital-owned outpatient department$309$234 to $398

How much rates vary

Facilitymedian $309 · 10th to 90th $178 to $537Professionalmedian $182 · 10th to 90th $95 to $372
$50$100$200$500$1Kfacility $309professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$229.09
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$141.25
Typical High
$223.87
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$363.08
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$407.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$346.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$169.82

Where Washington sits

The same service costs 2.3 times more in Montana than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 10th of 51

$195

MT $263DE $112

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.