Pathology consultation for a moderately complex problem

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

HC PATH CONSULT MOD COMPLEX 21-40 MIN

Payers reporting CPT 80504

Payer pricing summary

Low

$35

Average

$230

Median

$198

High

$866

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +30 other terms	630	$152	$185	$210	113%	—	$1 – $5.0k
2	Aetna fee schedule · outpatient · +25 other terms	434	$170	$230	$547	238%	—	$0 – $8.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	347	$205	$280	$204	73%	—	$1 – $1.4k
4	Cigna fee schedule · outpatient · +21 other terms	315	$139	$134	$114	85%	—	$22 – $881
5	Humana fee schedule · outpatient · +24 other terms	282	$169	$157	$49	31%	—	$37 – $492
6	Molina fee schedule · outpatient · +17 other terms	138	$179	$185	$93	50%	—	$6 – $395
7	Anthem fee schedule · outpatient · +21 other terms	135	$249	$316	$284	90%	—	$21 – $1.2k
8	WellCare fee schedule · outpatient · +17 other terms	132	$174	$196	$67	34%	—	$33 – $402
9	Kaiser fee schedule · outpatient · +14 other terms	79	$200	$264	$217	82%	—	$24 – $1.2k
10	Ambetter facility · fee schedule · outpatient · +10 other terms	74	$301	$394	$784	199%	—	$75 – $7.1k
11	Devoted fee schedule · outpatient · +7 other terms	69	$174	$160	$42	26%	—	$45 – $190
12	Oscar fee schedule · outpatient · +13 other terms	50	$284	$211	$149	70%	—	$1 – $486
13	Caresource fee schedule · outpatient · +11 other terms	49	$175	$314	$206	66%	—	$46 – $594
14	Highmark facility · fee schedule · outpatient · +11 other terms	36	$196	$185	$171	93%	—	$22 – $776
15	Optum fee schedule · outpatient · +15 other terms	35	$157	$194	$147	76%	—	$45 – $629
16	Tricare fee schedule · outpatient · +10 other terms	35	$170	$178	$22	12%	—	$152 – $218
17	Clover fee schedule · outpatient · +8 other terms	34	$187	$183	$13	7%	—	$154 – $205
18	MultiPlan fee schedule · outpatient · +17 other terms	33	$274	$280	$72	26%	—	$161 – $511
19	Bcbs Tx fee schedule · outpatient · +1 other terms	32	$596	$624	$259	41%	—	$161 – $1.3k
20	First Health fee schedule · outpatient · +11 other terms	27	$178	$220	$94	43%	—	$85 – $478
21	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$216	$216	$43	20%	—	$163 – $283
22	Medicare fee schedule · outpatient · +9 other terms	24	$45	$70	$50	72%	—	$42 – $170
23	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	21	$180	$176	$4	2%	—	$171 – $180
24	Amerihealth Caritas facility · fee schedule · outpatient · +7 other terms	20	$176	$141	$57	40%	—	$34 – $204
25	Regence professional · fee schedule · outpatient · +6 other terms	20	$49	$51	$9	17%	—	$46 – $93

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