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See a sample rate comparisonCPT 88164 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.
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.
| 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 90 - Reference Laboratory QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88164 |
| Medicaid Fee Schedule | View Medicaid rates for 88164 |
National average reimbursement for CPT 88164 by major payers:
$15.77
$12.46
$15.76
$24.91
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CPT 88164
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$33.26Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$17.80Published rateProgressive Medical Center Sc
Progressive Medical Center, S.C.
$14.76Published rateMichael Jacobson
Hroa 401k Plan
$9.07Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$5.80Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 88164 vs. Other Cytopathology Procedures Codes
The CPT 88164 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 88164 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. |
| 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 88164. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88164 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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