Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Anatomic Pathology Procedures |
| Common Modifiers | None XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 88007 |
National average reimbursement for CPT 88007 by major payers:

$296.55

$213.61

$250.14

$283.69
Choose a payer to see a sample of rates for CPT 88007.
Merrimack Valley Pediatric Associates, Inc.
Baycare Home Care Inc
Samaritan Emergency Medical Services PC
Baptist Health Care Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 88007 vs. Other Anatomic Pathology Procedures Codes
The CPT 88007 code is part of the Pathology and Laboratory Procedures services used for Anatomic Pathology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 88007 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 88000-CPT | Moderate | Autopsy, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. The Gross Examination Is The Process By Which The Exterior And Interior Body Is Inspected With The Naked Eye. |
| 88005-CPT | Moderate | Autopsy With Brain Exam, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. The Gross Examination Is The Process By Which The Exterior And Interior Body Is Inspected With The Naked Eye. Test Includes Brain Examination. |
| 88007-CPT | Moderate | Autopsy With Cns Exam, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. The Gross Examination Is The Process By Which The Exterior And Interior Body Is Inspected With The Naked Eye. Test Includes Brain And Spinal Cord Examination. |
| 88020-CPT | Moderate | Full Autopsy, Autopsy Is An Examination Of A Deceased Persons Body To Determine Cause Of Death. A Full Autopsy Examines The Exterior And Interior Of The Body With The Naked Eye And With A Microscope. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88007. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88007 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Bring your top codes (like CPT 88007) and we'll show you how you compare in 15 minutes or less.