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CPT 88241 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.

Cell Thawing, Cells That Have Been Frozen For Long-Term Storage Must Be Thawed Prior To Their Use Or Before Any Testing Can Be Done On Them. Each Cell Group Or Sample Is Thawed Separately.
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Cytogenetic Studies

Common Place of Service

81 - Independent Laboratory

22 - On Campus Outpatient Hospital

Common Modifiers

None

TC - Technical component

GZ - Item or Service Expected to Be Denied as Not Reasonable and Necessary

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 88241
Medicaid Fee ScheduleView Medicaid rates for 88241

National average reimbursement for CPT 88241 by major payers:

bcbs

$10.64

uhc

$10.77

aetna

$13.63

cigna

$18.16

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 88241.

CPT 88241
5 of 25 sample ratesHigher to lower in this preview
  1. Da Pediatric Rehabilitation

    FLHome Health AgencyNPI 1801164967Tax ID 27-0939565

    $55.00Published rate
  2. Asya Segalene

    Allergy & Asthma Of Dupage, S.C.

    ILAllergy PhysicianNPI 1053391094Tax ID 36-2925195

    $19.75Published rate
  3. Christopher Raio

    Mercy Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1635088

    $15.67Published rate
  4. Sacred Heart Health System Inc, Sacred Heart Home Care

    Sacred Heart Health System Inc

    FLHome Health AgencyNPI 1609823194Tax ID 59-0634434

    $8.31Published rate
  5. Christopher Raio

    Mercy Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1635088

    $5.54Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 88241 vs. Other Cytogenetic Studies Codes

The CPT 88241 code is part of the Pathology and Laboratory Procedures services used for Cytogenetic Studies. 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 88241 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.

CodeComplexityDescription
88240-CPTLowCell Freezing And Cold Storage, Cells Taken As Samples For Testing Or That Need To Be Examined Further Are Preserved By Freezing. Each Sample Must Be Prepared Carefully To Ensure The Information In The Tissue Is Not Altered.
88241-CPTLowCell Thawing, Cells That Have Been Frozen For Long-Term Storage Must Be Thawed Prior To Their Use Or Before Any Testing Can Be Done On Them. Each Cell Group Or Sample Is Thawed Separately.
88245-CPTLowChromosome Breakage Analysis, Chromosome Breakage Affects An Individuals Genetic Makeup. Breakage May Appear As A Weakness In The Chromosome Strand Or As Rearrangement Of Characteristics Rather Than Exact Copies In Each Strand.
88248-CPTLowChromosome Breakage Analysis, Chromosome Breakage Affects An Individuals Genetic Makeup. Breakage May Appear As A Weakness In The Chromosome Strand Or As Rearrangement Of Characteristics Rather Than Exact Copies In Each Strand.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88241. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 88241 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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