CPT 88112 is a medical billing code used for Cytopathology, Selective Cellular Enhancement Technique With Interpretation (e.g., liquid based slide preparation method), except cervical or vaginal. It's typically associated with moderate-level medical decision-making.

What is a fee schedule for CPT 88112?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services like CPT 88112. These prices vary depending on payer type (e.g., Medicare, private insurance), geographic location, and provider contracts.

What factors influence the CPT 88112 fee schedule?

Factors affecting fee schedules for CPT 88112 include government-set reimbursement amounts (Medicare & Medicaid), negotiated rates with private insurance companies, geographic location (e.g., higher costs in urban areas), and provider type (e.g., hospital vs. private practice rates).

What is the average reimbursement for CPT 88112?

National average reimbursement for CPT 88112 by major payers typically ranges from $69.12 to $88.55, with specific provider rates varying more widely.

How does CPT 88112 differ from other cytopathology codes?

CPT 88112 represents a moderate-complexity encounter within Pathology and Laboratory Procedures, requiring more provider time and moderate medical decision-making compared to lower-level codes like 88104, 88106, or 88108. It often involves multiple diagnoses, medication management, or test interpretation.

What is a CPT code and why is it important?

CPT (Current Procedural Terminology) codes are a standardized set of five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for billing and reimbursement purposes, allowing for consistent communication between providers, payers, and patients about the services rendered, ensuring that services are accurately documented and charged.

How can I find out the cost of a specific medical procedure or service?

To find out the estimated cost of a specific medical procedure or service, especially based on a CPT code and your location, it is recommended to use specialized tools. Payerprice offers a fee schedule lookup tool where you can search with a CPT code and your specific location to get an estimated cost. Additionally, you should always contact your insurance provider directly to understand your specific benefits, deductibles, co-pays, and out-of-pocket maximums.

What is healthcare price transparency and how does it benefit me?

Healthcare price transparency refers to the effort to make the costs of medical services, procedures, and prescription drugs readily available and understandable to consumers. It benefits you by empowering you to make more informed decisions about your healthcare, compare prices from different providers, anticipate your financial responsibility, and potentially save money on medical expenses. Regulations are increasingly requiring hospitals and insurers to publish this information.

Where can I find information about Medicare pricing for specific services?

While CMS (Centers for Medicare & Medicaid Services) provides extensive data related to Medicare, for users looking to search specific fee schedules by CPT code and location, especially for general comparison or out-of-pocket estimations, a tool like Payerprice can be very helpful. Payerprice's fee schedule lookup tool allows users to search with a CPT code and specific location for various payers, which can include data relevant to Medicare or general market rates that can inform discussions about Medicare costs. For official Medicare claims and specific beneficiary information, consulting the official Medicare website or contacting Medicare directly is recommended.

How do I compare prices for healthcare services from different providers in my area?

Comparing prices for healthcare services in your area can help you make more informed decisions and potentially save money. For a detailed comparison based on specific CPT codes and your location, Payerprice's fee schedule lookup tool is an excellent resource. Many hospitals and insurance companies are also now required to publish price information, which you can often access through their websites. Always contact your insurance provider to understand your specific benefits and out-of-pocket costs for any service you are considering.

CPT 88112 Fee Schedule

Last Verified: September 2026

Healthcare 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.

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.

Key Fact	Detail
Service Type	Pathology and Laboratory Procedures Cytopathology Procedures
Common Place of Service	22 - On Campus Outpatient Hospital 11 - Office 81 - Independent Laboratory
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 88112
Medicaid Fee Schedule	View Medicaid rates for 88112

National average reimbursement for CPT 88112 by major payers:

$80.82

$69.12

$88.55

$77.37

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 88112.

CPT 88112

5 of 25 sample ratesHigher to lower in this preview

George Letson
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLSpecialistNPI 1043280142Tax ID 59-3238640
$82.84Published rate
Sydney Pate
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLSurgical Physician AssistantNPI 1720706856Tax ID 59-3238640
$70.43Published rate
Blanca Lopez
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLPhysician AssistantNPI 1346619129Tax ID 59-3238640
$70.41Published rate
Mark Friedman
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLGastroenterology PhysicianNPI 1538346705Tax ID 59-3238640
$35.72Published rate
Sarah Zhu
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLPhysician AssistantNPI 1194225508Tax ID 59-3238640
$30.36Published rate

Get a free rate benchmark for your specialty.

Choose your state and specialty to build a report from payer-published rates.

Build my free benchmark

Use market rates to prepare your payer proposal.

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 comparison

Payer Contract Negotiation

Draft a fee schedule renegotiation letter.

Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.

See a sample payer proposal

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

Check published rates for your payer and codes.

Explore state-level rates by specialty

CPT 88112 vs. Other Cytopathology Procedures Codes

The CPT 88112 code is part of the Pathology and Laboratory Procedures services used for Cytopathology 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 88112 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
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 88112. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 88112 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.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like CPT 88112) and we'll show you how you compare in 15 minutes or less.

Schedule a Demo

CPT 88112 Fee Schedule

George Letson

Sydney Pate

Blanca Lopez

Mark Friedman

Sarah Zhu