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See a sample rate comparisonCPT 88166 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 |
| Common Modifiers | None 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88166 |
| Medicaid Fee Schedule | View Medicaid rates for 88166 |
National average reimbursement for CPT 88166 by major payers:
$16.27
$12.39
$16.40
$24.27
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CPT 88166
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$55.00Published rateAsya Segalene
Allergy & Asthma Of Dupage, S.C.
$20.66Published rateMichael Shuler
Athens Orthopedic Clinic, P.A.
$15.12Published rateChristopher Raio
St Francis Hospital
$13.61Published 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 88166 vs. Other Cytopathology Procedures Codes
The CPT 88166 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 88166 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. |
| 88166-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 88166. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88166 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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