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See a sample rate comparisonCPT 88106 Fee Schedule
Medicare rates as of October 2026
CPT 88106 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $67.47 national non-facility rate (2026) · View Medicare rates for 88106 |
| Medicaid Fee Schedule | $56.575 median of the 8 states in the free preview · View Medicaid rates for 88106 |
National average reimbursement for CPT 88106 by major payers:
$85.79
BCBS / Anthem
$57.69
UnitedHealthcare
$69.05
Aetna
$72.54
Cigna
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CPT 88106
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$168.26Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$52.45Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$48.36Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$32.69Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$17.12Published rate
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See a sample payer proposalCPT 88106 vs. Other Cytopathology Procedures Codes
The table lists codes related to 88106. 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 88106. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88106 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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