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See a sample rate comparisonCPT 88172 Fee Schedule
Medicare rates as of October 2026
CPT 88172 is classified under Pathology and Laboratory Procedures, in the Cytopathology Procedures subgroup.
Confirm Sample Quality, Immediate Exam By A Technician To Evaluate The Quality Of Cells Collected With A Hollow Needle. Good Quality Samples Are Sent To A Lab For Thorough Study Including Preparation Of A Written Interpretation And Report.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Cytopathology Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $54.11 national non-facility rate (2026) · View Medicare rates for 88172 |
| Medicaid Fee Schedule | $45.065 median of the 8 states in the free preview · View Medicaid rates for 88172 |
National average reimbursement for CPT 88172 by major payers:
$63.40
BCBS / Anthem
$46.43
UnitedHealthcare
$62.77
Aetna
$57.12
Cigna
Compare published rates across providers.
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CPT 88172
5 of 25 sample ratesHigher to lower in this preview
Logan Zemp
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$69.51Published rateWanda Powers
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$59.08Published rateHeather Chastain
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$39.31Published rateNazanin Khakpour
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$23.23Published rateAllison Fromm
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$19.76Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 88172 vs. Other Cytopathology Procedures Codes
The table lists codes related to 88172. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 88172-CPT | Low | Confirm Sample Quality, Immediate Exam By A Technician To Evaluate The Quality Of Cells Collected With A Hollow Needle. Good Quality Samples Are Sent To A Lab For Thorough Study Including Preparation Of A Written Interpretation And Report. |
| 88173-CPT | Low | Confirm Sample Quality, Immediate Exam By A Technician To Evaluate The Quality Of Cells Collected With A Hollow Needle. Good Quality Samples Are Sent To A Lab For Thorough Study Including Preparation Of A Written Interpretation And Report. |
| 88177-CPT | Low | Pathology Test/Cell Study, Cytopathology Evaluation Of Fine Needle Aspirate; Immediate Cytohistologic Study To Determine Adequacy For Diagnosis Each Separate Additional Evaluation Episode Same Site (List Separately In Addition To Code For Primary Procedure) |
| 88184-CPT | Low | Mark Finding In Cell Study, Flow Cytometry Examines Cells Within A Stream Of Fluid. The Technique Uses Light Emissions To Collect Information. This Is Useful In Detecting Specific Disease Characteristics. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88172. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88172 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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