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See a sample rate comparisonCPT 88164 Fee Schedule
Medicare rates as of January 2026
CPT 88164 is classified under Pathology and Laboratory Procedures, in the Cytopathology Procedures subgroup.
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 | 90 - Reference Laboratory QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $18.54 national lab fee schedule rate (2026) · View Medicare rates for 88164 |
| Medicaid Fee Schedule | $16.88 median of the 8 states in the free preview · View Medicaid rates for 88164 |
National average reimbursement for CPT 88164 by major payers:
$15.77
BCBS / Anthem
$12.46
UnitedHealthcare
$15.76
Aetna
$24.91
Cigna
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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 table lists codes related to 88164. Select one to see its fee schedule.
| 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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