Average Medicaid Pathology & Lab Services Payments in Lexington, KY: $57.76
Avg. Paid
$57.76
Range
$0.00 – $104.08
Total Claims
523,628
Providers
100
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
P & C Labs, Llc
290 Big Run Rd |
$72.88 | 97,460 | 94,950 |
|
University Of Kentucky
800 Rose St |
$97.54 | 97,044 | 82,770 |
|
Richard Lozano
290 Big Run Rd |
$31.94 | 59,315 | 53,769 |
|
Baptist Healthcare System, Inc
1740 Nicholasville Rd |
$48.94 | 24,270 | 16,069 |
|
Jason Clark
290 Big Run Rd |
$46.12 | 19,559 | 17,503 |
|
Jessica Howard
3408 Squire Oak Dr |
$45.67 | 17,751 | 15,692 |
|
Jason A Mull
290 Big Run Rd |
$46.33 | 13,258 | 11,855 |
|
Leigh Ann Carter Beard
715 Shaker Dr Ste 132 |
$45.35 | 10,171 | 8,868 |
|
Sheila Combs
290 Big Run Rd |
$36.75 | 9,436 | 7,961 |
|
Sarah Guerry Williams
290 Big Run Rd |
$51.16 | 9,168 | 8,212 |
|
Christine A Meece
290 Big Run Rd |
$53.20 | 8,070 | 7,176 |
|
Patrick C. Crowe
290 Big Run Rd |
$48.00 | 7,090 | 6,582 |
|
James P Bodnar
2620 Wilhite Drive |
$29.69 | 6,304 | 5,856 |
|
Amy Siegel Gewirtz
800 Rose St # Ms 117 |
$18.56 | 5,856 | 4,305 |
|
Kristi Caudill Adams
800 Rose St # Ms 119 |
$34.05 | 5,784 | 5,131 |
|
Eun Young Lee
800 Rose St # Ms 117 |
$58.77 | 5,065 | 4,700 |
|
Elena Samoilova
Uk Department Of Pathology 800 Rose St |
$31.94 | 4,580 | 4,153 |
|
Justin B Sedlak
290 Big Run Rd |
$70.13 | 4,429 | 3,856 |
|
John F Jansen
290 Big Run Rd |
$46.27 | 4,419 | 4,082 |
|
Molly Megan Tovar
800 Rose St # Ms 117 |
$36.51 | 4,368 | 3,993 |
|
Janna Hackett Neltner
800 Rose St # Ms 117 |
$49.13 | 4,338 | 4,037 |
|
Julie Christine Dueber
800 Rose St # Ms 117 |
$38.90 | 4,305 | 4,077 |
|
Bradley Gibson
290 Big Run Rd |
$57.36 | 4,200 | 3,785 |
|
Subodh Mukund Lele
800 Rose Street |
$32.26 | 3,934 | 2,574 |
|
Dava West Piecoro
800 Rose St # Ms 117 |
$34.88 | 3,890 | 3,453 |
|
Nathan R Shelman
800 Rose St |
$60.01 | 3,798 | 3,575 |
|
Daniel B Crump
800 Rose St # Ms 119 |
$32.64 | 3,790 | 3,339 |
|
Melissa Kesler
800 Rose St # Ms 117 |
$30.39 | 3,718 | 3,158 |
|
Daron G Davis
290 Big Run Rd |
$50.21 | 3,629 | 3,307 |
|
Kimberly J Absher
800 Rose St # Ms 117 |
$36.60 | 3,606 | 3,167 |
|
Kirk Phillip Heitman
800 Rose St |
$22.74 | 3,420 | 3,076 |
|
Nicole Marie Durie
290 Big Run Rd |
$59.97 | 3,376 | 2,944 |
|
Dana Lynn Richards
Uk Medical Center 800 Rose Street Ms 117 |
$35.73 | 3,238 | 2,953 |
|
Protima Rayapati
800 Rose St # Ms 117 |
$38.65 | 3,017 | 2,794 |
|
Virgilius Cornea
800 Rose St # Ms 117 |
$39.03 | 2,804 | 2,610 |
|
Matthew John Curzon
800 Rose St # Ms 117 |
$25.68 | 2,764 | 2,446 |
|
Shadi Abdelrazeq Qasem
800 Rose St # Ms 117 |
$41.97 | 2,751 | 2,588 |
|
Robert James Mcdonald
800 Rose St |
$42.05 | 2,742 | 2,497 |
|
Sahar Nozad
800 Rose St # Ms 117 |
$28.23 | 2,576 | 2,223 |
|
Therese Jeanne Bocklage
800 Rose St # Ms 117 |
$38.96 | 2,561 | 2,345 |
|
Steven Ray Frame
1101 Veterans Dr |
$28.49 | 2,447 | 2,225 |
|
Mary Evelyn O'Daniel-Pierce
1221 S Broadway |
$32.40 | 2,446 | 2,221 |
|
David E Hunt
1221 S Broadway |
$40.71 | 2,424 | 2,188 |
|
Autumn Vanover
800 Rose St Ste Ms -117 |
$53.21 | 2,365 | 2,147 |
|
Justin Adam Rueckert
800 Rose St |
$52.83 | 2,260 | 2,066 |
|
Saint Joseph Health System, Inc
150 N Eagle Creek Dr |
$104.08 | 2,087 | 1,837 |
|
Filip G Garrett
290 Big Run Rd |
$59.30 | 2,034 | 1,909 |
|
Joan Elizabeth Lehmann
1221 S Broadway |
$29.12 | 1,999 | 1,596 |
|
Dianne Wilson
800 Rose St |
$52.26 | 1,937 | 1,833 |
|
Valerie Taylor
1221 S Broadway |
$31.15 | 1,871 | 1,697 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Lexington, KY is $57.76 per claim, based on 523,628 claims from 100 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 Lexington, KY?
There are 100 Medicaid providers offering Pathology & Lab Services related services in Lexington, KY according to public payment data.
What is the price range for Pathology & Lab Services in Lexington, KY?
Medicaid reimbursement for Pathology & Lab Services in Lexington, KY ranges from $0.00 to $104.08 per claim, with an average of $57.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims