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See a sample rate comparisonCPT 88155 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.
Cytopath C V Index Add On, Cytopathology Slides Cervical Or Vaginal Definitive Hormonal Evaluation Eg Maturation Index Karyopyknotic Index Estrogenic Index List Separately In Addition To Code S For Other Technical And Interpretation Services
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Cytopathology Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory 50 - Federally Qualified Health Center |
| Common Modifiers | None QW - CLIA Waived Tests 99 - Multiple Modifiers |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88155 |
| Medicaid Fee Schedule | View Medicaid rates for 88155 |
National average reimbursement for CPT 88155 by major payers:
$12.87
$9.79
$12.61
$20.72
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CPT 88155
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$40.00Published rateChristopher Raio
St Joseph Hospital
$21.10Published rateMatthew Lilley
Bend Memorial Clinic, PC
$14.65Published rateOconee Medical Center
Prisma Health - Upstate
$13.18Published rateBellville Hospital District, Bellville General Hospital
$5.00Published rate
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See a sample payer proposalCPT 88155 vs. Other Cytopathology Procedures Codes
The CPT 88155 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 88155 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 |
|---|---|---|
| 88150-CPT | Low | Pap Test, A Pap Test (Or Pap Smear) Is A Procedure Where Cells Are Collected From The Cervix (Uterus) Or Vagina To Test For Cancer Or Pre-Cancerous Cells And Done Under Physician Supervision. |
| 88152-CPT | Low | Pap Test, A Pap Test (Or Pap Smear) Is A Procedure Where Cells Are Collected From The Cervix (Uterus) Or Vagina To Test For Cancer Or Pre-Cancerous Cells And Done Under Physician Supervision. |
| 88153-CPT | Low | Pap Test, A Pap Test (Or Pap Smear) Is A Procedure Where Cells Are Collected From The Cervix (Uterus) Or Vagina To Test For Cancer Or Pre-Cancerous Cells And Done Under Physician Supervision. |
| 88155-CPT | Low | Cytopath C V Index Add On, Cytopathology Slides Cervical Or Vaginal Definitive Hormonal Evaluation Eg Maturation Index Karyopyknotic Index Estrogenic Index List Separately In Addition To Code S For Other Technical And Interpretation Services |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88155. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88155 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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