CPT 88104 Fee Schedule

Medicare rates as of October 2026

CPT 88104 is classified under Pathology and Laboratory Procedures, in the Cytopathology Procedures subgroup.

Study Of Cells In Body Fluid, Cells Collected From Body Fluids Are Smeared Into A Thin Layer For Viewing Under A Microscope. The Study May Identify Signs Of Problems With Surgical Wounds And Certain Cancers.

Key Fact	Detail
Service Type	Pathology and Laboratory Procedures Cytopathology Procedures
Common Place of Service	22 - On Campus Outpatient Hospital 21 - Inpatient Hospital
Common Modifiers	26 - Professional component 59 - Distinct Procedural Service
Complexity Level	Low
Medicare Fee Schedule	$84.17 national non-facility rate (2026) · View Medicare rates for 88104
Medicaid Fee Schedule	$69.595 median of the 8 states in the free preview · View Medicaid rates for 88104

National average reimbursement for CPT 88104 by major payers:

$79.19

BCBS / Anthem

$56.30

UnitedHealthcare

$76.45

Aetna

$72.57

Cigna

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CPT 88104

5 of 25 sample ratesHigher to lower in this preview

Andrew Sinnamon
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLSurgery PhysicianNPI 1750726337Tax ID 59-3238640
$84.13Published rate
Saeed Bajestani
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLAnatomic Pathology PhysicianNPI 1518028075Tax ID 59-3238640
$48.00Published rate
Hugo Fernandez
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLHematology (Internal Medicine) PhysicianNPI 1437181674Tax ID 59-3238640
$36.15Published rate
Katelyn Hart
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLNurse PractitionerNPI 1528416393Tax ID 59-3238640
$30.72Published rate
Morgan Guthrie
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLNurse PractitionerNPI 1477062925Tax ID 59-3238640
$30.71Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 88104 vs. Other Cytopathology Procedures Codes

The table lists codes related to 88104. Select one to see its fee schedule.

Code	Complexity	Description
88104-CPT	Low	Study Of Cells In Body Fluid, Cells Collected From Body Fluids Are Smeared Into A Thin Layer For Viewing Under A Microscope. The Study May Identify Signs Of Problems With Surgical Wounds And Certain Cancers.
88106-CPT	Low	Study Of Cells In Body Fluid, Cells Collected From Body Fluids Are Smeared Into A Thin Layer For Viewing Under A Microscope. The Study May Identify Signs Of Problems With Surgical Wounds And Certain Cancers.
88108-CPT	Low	Laboratory Study Of Cells, Examination Of A Cell Sample Using Techniques To Identify If A Disease Is Present Or Not (Cytopathology). Results Are Interpreted For A Report.
88112-CPT	Low	Advanced Lab Study Of Cells, Advanced Cytopathology (Cell) Study Of Complicated Cell Samples Using Substances To Enhance The Microscopic View For Better Detection Of Disease Type Or Comparison With Previous Studies.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88104. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 88104 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.

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