APC 05671

Level 1 pathology lab services

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GROSS & MICROSCOPIC LEVEL IV

Payers reporting APC 05671

Payer pricing summary

Low

$39

Average

$81

Median

$64

High

$192

Payer rate distribution

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#
1	Medical Mutual facility · other · outpatient	2	$180	$179	$15	9%	78–123	$165 – $195
2	Aetna Better Health facility · other · outpatient · +1 other terms	4	$31	$31	—	—	2–20	$31 – $31
3	Humana fee schedule · outpatient · +2 other terms	86	$52	$53	$2	3%	—	$38 – $55
4	Caresource fee schedule · outpatient · +1 other terms	20	$53	$53	$0	1%	—	$53 – $54
5	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	17	$60	$113	$88	78%	—	$29 – $292
6	Aetna facility · fee schedule · outpatient · +4 other terms	14	$51	$59	$23	40%	—	$48 – $161
7	Medicare facility · fee schedule · outpatient · +2 other terms	13	$54	$72	$233	322%	—	$47 – $3.5k
8	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$50	$52	$0	1%	—	$50 – $52
9	Molina facility · fee schedule · outpatient · +1 other terms	8	$69	$98	$330	336%	—	$49 – $3.6k
10	Anthem facility · fee schedule · outpatient	5	$190	$168	$74	44%	—	$49 – $261
11	Clover fee schedule · outpatient	5	$55	$54	$0	1%	—	$54 – $55
12	Kaiser fee schedule · outpatient · +2 other terms	5	$54	$53	$0	1%	—	$53 – $54
13	WellCare fee schedule · outpatient · +2 other terms	5	$54	$53	$0	1%	—	$53 – $54
14	Ambetter facility · fee schedule · outpatient	4	$85	$74	$14	19%	—	$66 – $101
15	Cigna facility · fee schedule · outpatient · +1 other terms	4	$163	$157	$51	32%	—	$43 – $212
16	Devoted facility · fee schedule · outpatient	4	$53	$52	$2	4%	—	$50 – $54
17	Tricare facility · fee schedule · outpatient · +1 other terms	4	$59	$59	$3	5%	—	$53 – $62
18	Amerihealth Caritas facility · fee schedule · outpatient	3	$86	$75	$30	40%	—	$52 – $117
19	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$51	$51	$1	2%	—	$50 – $53
20	Carefirst facility · fee schedule · outpatient	3	$62	$59	$3	6%	—	$55 – $62
21	Medica facility · fee schedule · outpatient	3	$56	$56	—	—	—	$56 – $56
22	Bcbs Ca facility · fee schedule · outpatient	2	$207	$192	$88	46%	—	$67 – $254
23	MultiPlan facility · other · outpatient · +1 other terms	2	$78	$78	$18	23%	—	$31 – $87
24	Cigna Healthspring facility · fee schedule · outpatient	1	$50	$50	—	—	—	$50 – $50
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$50	$50	$3	7%	—	$46 – $54

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