Based on public Medicaid payment data.

Average Medicaid Pathology & Lab Services Payments in Durham, NC: $35.96

Avg. Paid

$35.96

Range

$0.00 – $194.65

Total Claims

45,385

Providers

Typical Payment Range

Typical Medicaid Pathology & Lab Services payments fall between $21.67 and $50.06 per claim (median: $34.23). The top 10% of payments exceed $74.70.

Based on per-provider averages across all Medicaid claims in this category.

Laboratory testing and analysis of tissue, blood, and other specimens for diagnostic purposes. Includes surgical pathology and clinical laboratory tests.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Pathology & Lab Services in Durham, NC

Provider	Avg. Paid	Claims	Patients
Rex Bentley Duke University Medical Ctr	$43.83	5,321	4,647
Sarah M Bean 4101 N Roxboro St	$41.18	3,458	2,900
Kenneth Ellington 2100 Erwin Rd	$21.86	3,241	2,920
Louis Dibernardo Duke University Medical Ctr	$32.42	2,734	2,254
Xuefeng Zhang 2100 Erwin Rd	$53.09	2,592	2,463
Michael Stuart Waugh 3643 N Roxboro St	$24.36	2,487	2,121
Maureen S Bauer 1000 Trent Dr	$26.76	2,135	1,914
Jadee Neff 40 Medical Circle Dr	$15.35	1,828	1,412
John W Sleasman 2301 Erwin Rd	$56.24	1,769	1,382
Allison Haberstroh Hall Allison Hall	$45.14	1,425	1,348
Aimee L Ferrandino 1000 Trent Dr	$30.88	1,287	1,134
Shannon Jones Mccall 2100 Erwin Rd	$66.07	1,267	1,175
Cynthia Guy Duke University Medical Ctr	$55.21	1,235	1,092
Anand Lagoo 2100 Erwin Rd	$17.71	1,109	862
Jennifer Michelle Crimmins Dumc 3712	$20.70	1,023	836
Maria A Selim Erwin Rd	$22.04	997	914
Maggie Marie Stoecker 3643 N Roxboro St	$32.11	950	799
Carolyn Glass 2301 Erwin Rd	$36.88	925	795
Lisa C Muasher 2101 Erwin Road	$34.23	922	787
Diana Marcella Cardona 1000 Trent Dr	$58.87	912	847
Michael Datto Duke University Medical Ctr	$14.82	748	586
Jonathan Paul Galeotti 2301 Erwin Rd	$33.47	728	529
Danielle Elliott Range 40 Duke Medicine Cir	$24.99	719	606
Amanda Carolyn Hemmerich 2301 Erwin Rd	$0.35	602	390
Xiaoyin Jiang Dumc	$25.31	599	506
Rajesh Dash 2100 Erwin Rd	$26.90	569	497
Adam David Devore 2301 Erwin Rd	$109.08	471	385
Claudia Jones 2100 Erwin Rd	$28.19	403	353
Wen-Chi Foo Private Diagnostic Clinic Pllc	$27.13	266	241
Carol Filomena 3643 N Roxboro Road	$23.05	250	243
William Barrett Gunter 209 East Carver St	$19.70	239	212
Tempus Ai, Inc. 25 Alexandria Way Ste 300	$26.18	231	196
Elizabeth Nunnery Pavlisko Duke University Medical Ctr	$37.48	231	209
John Francis Madden 2100 Erwin Rd	$23.05	214	190
Naomi Lynn Ferguson 40 Duke Medicine Cir	$27.53	197	182
Joanne Kurtzberg 2100 Erwin Rd	$51.44	163	150
John W. Schmitt 5213 S Alston Ave	$37.71	163	121
Duke University Health System, Inc. 2301 Erwin Road	$7.92	128	74
John Michael Carney 2301 Erwin Rd	$29.05	125	108
Charlie Pickens 2301 Erwin Rd	$32.40	105	91
Henry Newton Pleasant 1000 Trent Dr	$31.06	94	77
John Lynch Lyles 4709 Creekstone Dr	$194.65	83	39
David Noble Howell 3712 Pathology	$11.15	65	50
Belinda Kim Khou 501 Willard St Apt 215	$0.00	59	40
Richard Draffin 2100 Erwin Rd	$15.85	42	41
Catherine Marie Alexander 2301 Erwin Rd	$37.84	41	40
Kristen Michelle Paral 40 Duke Medicine Cir	$23.97	34	31
Amy Nicole Broach Po Box Office	$36.19	33	24
Tanya E Moore 1000 Trent Dr	$40.41	32	32
Jill Melissa Hagey 2301 Erwin Road	$30.47	28	23

What to Expect: Pathology & Lab Services

Pathology services happen behind the scenes after a specimen is collected. A pathologist examines tissue under a microscope or runs specialized tests. Results for simple blood tests are available in hours to days. Surgical pathology results (biopsies, surgical specimens) typically take 3-7 days. Special stains or molecular tests may take longer.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
88305	Surgical pathology level IV	$43.26	33,352,065	19,029
88175	Cytopathology ThinPrep	$15.65	17,357,978	3,878
88342	Immunohistochemistry 1st	$31.10	4,789,088	7,877
88304	Surgical pathology level III	$16.71	3,866,853	7,943
88307	Surgical pathology level V	$64.86	3,481,099	7,457
88312	Special stains group I	$44.11	2,331,523	3,354
88313	Special stains group II	$36.51	1,714,455	2,520
88341	Immunohistochemistry each	$61.75	1,105,147	2,700
88112	Cytopathology selective cell	$22.38	1,090,548	2,321
88185	Flow cytometry each addl	$127.67	495,262	404
88184	Flow cytometry 1st marker	$32.07	461,077	409
88300	Surgical pathology gross	$9.56	452,431	1,569
88311	Decalcification procedure	$6.06	406,574	1,598
88108	Cytopathology concentrate	$16.61	329,898	1,088
88189	Flow cytometry 16+ markers	$39.42	282,439	711
88173	Cytopathology eval FNA interp	$47.98	282,106	840
88360	Morphometric tumor analysis	$53.44	252,520	408
88302	Surgical pathology gross micro	$13.57	223,940	1,364
88291	Cytogenetics interpret report	$13.78	103,955	162
88187	Flow cytometry 2-8 markers	$24.34	97,065	100
88230	Tissue culture lymphocyte	$53.53	80,629	70
88262	Chromosome analysis 15-20	$57.97	80,420	78
88237	Tissue culture bone marrow	$57.33	72,765	97
88374	Morphometric analysis tumor IHC	$97.11	72,021	44
88172	Cytopathology eval FNA	$37.75	67,493	203
88377	Morphometric analysis tumor ISH	$107.24	66,832	109
88365	In situ hybridization (FISH)	$72.18	65,175	65
88346	Immunofluorescence each	$26.70	54,893	168
88104	Cytopathology fluids	$16.11	52,729	180
88271	Chromosome banding	$43.42	48,982	82
88321	Pathology consultation	$41.03	47,344	181
88361	In situ hybridization (ISH)	$92.47	47,059	33
88182	Flow cytometry cell cycle	$70.61	44,055	27
88264	Chromosome analysis 20-25 amni	$53.10	37,283	61
88356	Morphometric analysis nerve	$124.76	32,297	13
88275	Chromosome fragility study	$48.60	30,698	60
88325	Pathology consultation comprehensive	$69.99	30,582	13
88331	Frozen section pathology	$52.63	21,424	126
88314	Histochemical staining	$53.49	20,120	18
88188	Flow cytometry 9-15 markers	$40.72	19,664	137
88280	Chromosome karyotype study	$17.32	19,562	50
88348	Electron microscopy	$65.31	16,368	79
88323	Pathology consultation complex	$38.58	13,633	40
88235	Tissue culture fetal skin	$71.81	13,315	16
88364	In situ hybridization addl	$76.37	13,135	26
88285	Chromosome add karyotype	$11.45	12,275	14
88274	Chromosome analysis interphase	$28.54	11,282	16
88309	Surgical pathology level VI	$113.10	10,091	54
88267	Chromosome analysis amniotic	$87.99	8,794	5
88289	Chromosome add study	$12.31	8,572	15
88367	Morphometric in situ hybrid	$39.30	7,779	14
88373	Morphometric analysis quant	$23.36	7,057	7
88160	Cytopathology smear other	$26.96	4,211	40
88333	Cytopathology FNA addl site	$23.14	4,140	43
88368	Morphometric analysis manual	$20.87	3,481	29
88261	Chromosome analysis 50-100	$199.31	2,814	10
88233	Tissue culture skin/biopsy	$75.17	2,536	3
88369	Morphometric analysis computer	$20.89	2,159	21
88363	Exam & select tissue FISH	$5.90	1,717	20
88161	Cytopathology smear prep	$45.02	1,545	14
88269	Chromosome analysis chorionic	$90.29	1,392	2
88366	FISH each addl probe	$55.73	782	6
88332	Frozen section addl tissue	$117.88	742	2
88329	Pathology consultation clinical	$12.50	475	16
88334	Cytopathology FNA addl eval	$21.28	371	11
88272	Chromosome high resolution	$12.79	157	1
88239	Tissue culture tumor	$0.00	118	1
88355	Morphometric analysis bone	$0.00	109	1
88263	Chromosome analysis 20-25	$76.05	65	1
88273	Chromosome analysis count only	$0.00	13	1
88283	Chromosome banding high res	—	—	—
88362	Nerve teasing preparation	—	—	—

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Pathology & Lab Services cost in Durham, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Durham, NC is $35.96 per claim, based on 45,385 claims from 56 providers. Typical payments fall between $21.67 and $50.06. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Pathology & Lab Services in Durham, NC?

There are 56 Medicaid providers offering Pathology & Lab Services related services in Durham, NC according to public payment data.

What is the price range for Pathology & Lab Services in Durham, NC?

Medicaid reimbursement for Pathology & Lab Services in Durham, NC ranges from $0.00 to $194.65 per claim, with an average of $35.96. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pathology & Lab Services Payments in Durham, NC: $35.96

Providers Offering Pathology & Lab Services in Durham, NC

What to Expect: Pathology & Lab Services

Cost Components

Frequently Asked Questions

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