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See a sample rate comparisonCPT 88162 Fee Schedule
Medicare rates as of October 2026
CPT 88162 is classified under Pathology and Laboratory Procedures, in the Cytopathology Procedures subgroup.
Lab Analysis Of Cell Sample, Cell Study To Determine Existence Cause Or Progression Of A Disease. Cells Are Smeared Onto A Slide Or Other Medium And Examined Microscopically. Stains May Be Used To Highlight Features.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Cytopathology Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $127.59 national non-facility rate (2026) · View Medicare rates for 88162 |
| Medicaid Fee Schedule | $105.58 median of the 8 states in the free preview · View Medicaid rates for 88162 |
National average reimbursement for CPT 88162 by major payers:
$134.91
BCBS / Anthem
$78.69
UnitedHealthcare
$101.56
Aetna
$113.67
Cigna
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CPT 88162
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$255.15Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$95.72Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$63.95Published rateKevin Schlessel
Columbus Arthritis Center
$36.71Published rateChristopher Raio
St Francis Hospital
$18.26Published rate
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See a sample payer proposalCPT 88162 vs. Other Cytopathology Procedures Codes
The table lists codes related to 88162. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 88160-CPT | Low | Lab Analysis Of Cell Sample, Cell Study To Determine Existence Cause Or Progression Of A Disease. Cells Are Smeared Onto A Slide Or Other Medium And Examined Microscopically. Stains May Be Used To Highlight Features. |
| 88161-CPT | Low | Lab Analysis Of Cell Sample, Cell Study To Determine Existence Cause Or Progression Of A Disease. Cells Are Smeared Onto A Slide Or Other Medium And Examined Microscopically. Stains May Be Used To Highlight Features. |
| 88162-CPT | Low | Lab Analysis Of Cell Sample, Cell Study To Determine Existence Cause Or Progression Of A Disease. Cells Are Smeared Onto A Slide Or Other Medium And Examined Microscopically. Stains May Be Used To Highlight Features. |
| 88164-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88162. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88162 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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