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.
Original text from hospital filings
PATH CLIN CONSLTJ MOD 21-40
Boulder, CO
See all hospitals reporting CPT 80504 →Price type
Boulder Community Health’s median price of $55 is 69% below the median hospital's median price ($175), higher than 10% of the 1,490 hospitals reporting CPT 80504. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commercial professional · fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Aetna medicare advantage professional · case rate · both | $39 | $39 | — | — | — | $39 – $39 |
| 4 | Anthem medicare advantage professional · fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 5 | Devoted medicare advantage professional · fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 6 | Kaiser commercial professional · fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 7 | Kaiser medicare advantage professional · fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 8 | Anthem commercial professional · fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 9 | Anthem managed care professional · fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 11 | Aetna commercial professional · fee schedule · both | $50 | $50 | $15 | 31% | — | $35 – $65 |
| 12 | Cigna commercial professional · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 13 | Humana medicare advantage professional · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 14 | MultiPlan commercial professional · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 15 | Phcs commercial professional · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 16 | UnitedHealthcare medicare advantage professional · fee schedule · both | $103 | $103 | $79 | 77% | — | $24 – $182 |
| 17 | UnitedHealthcare commercial facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 19 | Anthem medicare advantage facility · case rate · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 20 | Humana medicare advantage facility · case rate · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $186 | $186 | $1 | 0% | — | $185 – $187 |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 24 | Kaiser commercial facility · case rate · outpatient | $397 | $397 | $48 | 12% | — | $349 – $444 |
| 25 | Kaiser managed care facility · case rate · outpatient | $440 | $440 | — | — | — | $440 – $440 |
Last updated: Sep 16, 2026
See Pathology consultation for a moderately complex problem pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.