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See a sample rate comparisonCPT 88112 is classified under Pathology and Laboratory Procedures, in the Cytopathology Procedures subgroup.
| 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 | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $65.47 national non-facility rate (2026) · View Medicare rates for 88112 |
| Medicaid Fee Schedule | $61.295 median of the 8 states in the free preview · View Medicaid rates for 88112 |
National average reimbursement for CPT 88112 by major payers:

$80.82
BCBS / Anthem

$69.12
UnitedHealthcare

$88.55
Aetna

$77.37
Cigna
Choose a payer to see a sample of rates for CPT 88112.
George Letson
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Sydney Pate
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Blanca Lopez
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Mark Friedman
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Sarah Zhu
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Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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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 88112 vs. Other Cytopathology Procedures Codes
The table lists codes related to 88112. 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 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.
Bring your top codes (like CPT 88112) and we'll show you how you compare in 15 minutes or less.
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.
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.
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.
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.
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.