Based on public Medicaid payment data.

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
Dermatology Associates Of Kentucky, Psc 250 Fountain Ct	$0.00	13	12
Niraj R Chavan University Of Kentucky Healthcare	$6.67	15	15
Bruce M Belin 2620 Wilhite Dr	$38.77	15	12
New Lexington Clinic, Psc 1225 S Broadway	$32.45	26	24
Dylan Maldonado 2195 Harrodsburg Rd Ste 2	$1.72	28	25
Molly Housley Smith 290 Big Run Rd	$2.13	29	14
Peter Tobias Nelson 800 Rose St # Ms 117	$64.78	30	24
Clifton Smith 177 Burt Rd	$16.19	32	13
Kris Ann Moghadamian 177 Burt Rd	$11.98	32	13
University Of Kentucky 770 Rose St	$2.07	38	38
Chipps, Caffrey & Dubilier, P.S.C 290 Big Run Rd	$28.51	45	38
Angela Michelle Ballard 177 Burt Rd	$17.96	45	30
Douglas D. Damm 290 Big Run Rd	$1.40	46	31
Krishna Shah 800 Rose St	$45.82	47	38
Elizabeth Lowrey 177 Burt Rd	$25.43	54	40
John G Roth 177 Burt Rd	$8.98	64	29
Ameripath Kentucky Inc 2620 Wilhite Dr	$14.77	73	59
Michael Lee Cibull 1221 S Broadway	$29.91	75	61
Rebecca Ragan Davies 177 Burt Rd	$17.55	81	59
Ashley Cobane Sutton 177 Burt Rd	$10.67	100	46
Samuel J Pruden 989 Governors Ln Ste 260	$24.87	121	99
Craig B Fowler 800 Rose St Mn530	$0.53	141	94
Fernando R. De Castro 250 Fountain Ct	$26.45	150	134
Nathan Heflin Massey 2620 Wilhite Dr	$29.34	162	148
Anna Donata Castiglione Richmond Uk Healthcare 800 Rose Street	$37.21	172	164
Anne P. Marshall 290 Big Run Rd	$51.35	217	204
Matthew Scott Purdom 800 Rose St Dept Of	$43.18	230	210
Rupinder Kaur Brar 800 Rose St	$19.59	249	216
Stephen Paul Schindler 2620 Wilhite Dr	$39.58	295	267
Chester Darrell Jennings 800 Rose St	$74.25	298	287
Thomas Charles Knopp 2620 Wilhite Dr	$32.27	301	272
Terry D Clark 290 Big Run Rd	$27.60	328	276
Charlotte Gill Pathology Dept Ms 117	$31.40	371	320
Treeva Jassim 800 Rose St Ste Ms -117	$30.78	382	362
Charles Lutz 800 Rose St # Ms 117	$64.76	400	377
Stephanie L Wetzel 290 Big Run Rd	$24.16	407	317
Allen Chukwuemekenim Omo-Ogboi 290 Big Run Rd	$34.35	421	411
Yasodah Toddywalla 1221 S Broadway	$36.55	488	447
Luis Mario Samayoa 800 Rose St.	$37.73	491	462
Saint Joseph Health System, Inc 1 Saint Joseph Dr	$90.59	535	470
Julie A Ribes 800 Rose St # Ms 117	$20.39	753	613
John L. Wilhelmus 1221 S Broadway	$33.13	849	793
Ranjana Arora 290 Big Run Rd	$46.79	928	772
Sara Bachert 800 Rose St	$41.80	1,084	1,020
Alexander Patrick Smith 290 Big Run Rd	$64.59	1,364	1,241
Phillip R. Jones 800 Rose St	$30.92	1,391	1,251
New Lexington Clinic, Psc 1221 S Broadway	$23.40	1,453	1,381
Derek Blake Allison 800 Rose St # Ms 117	$36.03	1,609	1,488
William Noel Oconnor 800 Rose St	$33.64	1,676	1,574
Rouzan Gourgen Karabakhtsian 800 Rose St	$65.98	1,750	1,727

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.

Average Medicaid Pathology & Lab Services Payments in Lexington, KY: $57.76

Providers Offering Pathology & Lab Services in Lexington, KY

What to Expect: Pathology & Lab Services

Cost Components

Frequently Asked Questions

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