CPT 88307 Fee Schedule

Q: What factors affect fee schedules?

Factors affecting fee schedules include 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), and Provider Type (hospital providers may have different rates than private practice).

Last Verified: July 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.

Tissue Exam By Pathologist, Level V Surgical Pathology Gross And Microscopic Examination Adrenal Resection Bone Biopsy Curettings Bone Fragment S Pathologic Fracture Brain Biopsy Brain Meninges Tumor Resection Breast Excision Of Lesion Requiring Microscopic Evaluation Of Surgical Margins Breast Mastectomy Partial Simple Cervix Conization Colon Segmental Resection Other Than For Tumor Extremity Amputation Non Traumatic Eye Enucleation Kidney Partial Total Nephrectomy Larynx Partial Total Resection Liver Biopsy Needle Wedge Liver Partial Resection Lung Wedge Biopsy Lymph Nodes Regional Resection Mediastinum Mass Myocardium Biopsy Odontogenic Tumor Ovary With Or Without Tube Neoplastic Pancreas Biopsy Placenta Third Trimester Prostate Except Radical Resection Salivary Gland Sentinel Lymph Node Small Intestine Resection Other Than For Tumor Soft Tissue Mass Except Lipoma Biopsy Simple Excision Stomach Subtotal Total Resection Other Than For Tumor Testis Biopsy Thymus Tumor Thyroid Total Lobe Ureter Resection Urinary Bladder Tur Uterus With Or Without Tubes And Ovaries Other Than Neoplastic Prolapse

Key Fact	Detail
Service Type	Surgical Pathology Procedures Pathology and Laboratory Procedures
Common Place of Service	21 - Inpatient Hospital 22 - On Campus Outpatient Hospital
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 88307

National average reimbursement for CPT 88307 by major payers:

$297.75

$216.13

$320.82

$288.91

Preview provider-level rates for...

For billing codeCPT 88307

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	88307	$362.07	1407872112 - NARAINDER GUPTA	232743545	PA	Diagnostic Radiology Physician (2085R0202X)
United	88307	$334.29	1184874869 - PENN-OHIO ASSOCIATES IN ANESTHESIOLOGY, LLC	10910350 - (PA) PENN - OHIO ASSOCIATES IN ANESTH	PA	Anesthesiology Physician (207L00000X)
United	88307	$364.10	1306334065 - JENNIFER LARSEN	232919472 - UPMC	PA	Emergency Medicine Physician (207P00000X)
United	88307	$885.47	1609137496 - TALI AMIR	593801080	PA	Diagnostic Radiology Physician (2085R0202X)
United	88307	$100.44	1760590640 - ARIF RAFI	51861562	PA	Anesthesiology Physician (207L00000X)
United	88307	$736.03	1639599210 - ILAN SONDHEIMER	581537752 - EMORY UNIVERSITY	GA	Anesthesiology Physician (207L00000X)
United	88307	$50.88	1144758822 - KEVIN SCOTT	232120257 - (PA) RIVERSIDE ANESTHESIA ASSOCIATES, LTD.	NY	Anesthesiology Physician (207L00000X)
United	88307	$38.15	1821051038 - GEOFFREY BULL	271519025 - (PA) FAMILY FIRST SWIFTCARE LLC	PA	Emergency Medicine Physician (207P00000X)
United	88307	$90.41	1639651672 - TEMPLE FACULTY PRACTICE PLAN, INC, TEMPLE FACULTY EMERGENCY MEDICINE ASSOCIATES	831002191 - TEMPLE FACULTY PRACTICE PLAN INC	PA	Emergency Medicine Physician (207P00000X)
United	88307	$93.27	1427008077 - SANDEEP SAHOTA	320442710	PA	Emergency Medicine Physician (207P00000X)
United	88307	$140.88	1013974278 - DAVID SCHOENWETTER	236291113 - GEISINGER CLINIC	PA	Emergency Medicine Physician (207P00000X)
United	88307	$160.46	1679598361 - MICHAEL MARTINO	250984595 - (PA) BROOKVILLE HOSPITAL	IN	Emergency Medicine Physician (207P00000X)
United	88307	$157.77	1568857084 - JONATHAN LAKE	232743545	PA	Anatomic Pathology & Clinical Pathology Physician (207ZP0102X)
United	88307	$367.33	1558306571 - WENDY KLEIN	232743545	PA	Diagnostic Radiology Physician (2085R0202X)
United	88307	$213.19	1558339820 - BRIAN WIECZOREK	231396795 - (PA) UPMC	PA	Emergency Medicine Physician (207P00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 88307 vs. Other Pathology and Laboratory Procedures Codes

The CPT 88307 code is part of the Surgical Pathology Procedures services used for Pathology and Laboratory 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 88307 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
88300-CPT	Low	Pathology Exam Of Body Tissue, A Laboratory Study Of Tissue Organs Or Fluid Samples. A Pathology Study Detects Disease If It Is Present. The Sample May Be Removed During Surgery Or Another Procedure.
88302-CPT	Low	Tissue Exam By Pathologist, Level Ii Surgical Pathology Gross And Microscopic Examination Appendix Incidental Fallopian Tube Sterilization Fingers Toes Amputation Traumatic Foreskin Newborn Hernia Sac Any Location Hydrocele Sac Nerve Skin Plastic Repair Sympathetic Ganglion Testis Castration Vaginal Mucosa Incidental Vas Deferens Sterilization
88304-CPT	Low	Tissue Exam By Pathologist, Level Iii Surgical Pathology Gross And Microscopic Examination Abortion Induced Abscess Aneurysm Arterial Ventricular Anus Tag Appendix Other Than Incidental Artery Atheromatous Plaque Bartholin S Gland Cyst Bone Fragment S Other Than Pathologic Fracture Bursa Synovial Cyst Carpal Tunnel Tissue Cartilage Shavings Cholesteatoma Colon Colostomy Stoma Conjunctiva Biopsy Pterygium Cornea Diverticulum Esophagus Small Intestine Dupuytren S Contracture Tissue Femoral Head Other Than Fracture Fissure Fistula Foreskin Other Than Newborn Gallbladder Ganglion Cyst Hematoma Hemorrhoids Hydatid Of Morgagni Intervertebral Disc Joint Loose Body Meniscus Mucocele Salivary Neuroma Morton S Traumatic Pilonidal Cyst Sinus Polyps Inflammatory Nasal Sinusoidal Skin Cyst Tag Debridement Soft Tissue Debridement Soft Tissue Lipoma Spermatocele Tendon Tendon Sheath Testicular Appendage Thrombus Or Embolus Tonsil And Or Adenoids Varicocele Vas Deferens Other Than Sterilization Vein Varicosity
88307-CPT	Moderate	Tissue Exam By Pathologist, Level V Surgical Pathology Gross And Microscopic Examination Adrenal Resection Bone Biopsy Curettings Bone Fragment S Pathologic Fracture Brain Biopsy Brain Meninges Tumor Resection Breast Excision Of Lesion Requiring Microscopic Evaluation Of Surgical Margins Breast Mastectomy Partial Simple Cervix Conization Colon Segmental Resection Other Than For Tumor Extremity Amputation Non Traumatic Eye Enucleation Kidney Partial Total Nephrectomy Larynx Partial Total Resection Liver Biopsy Needle Wedge Liver Partial Resection Lung Wedge Biopsy Lymph Nodes Regional Resection Mediastinum Mass Myocardium Biopsy Odontogenic Tumor Ovary With Or Without Tube Neoplastic Pancreas Biopsy Placenta Third Trimester Prostate Except Radical Resection Salivary Gland Sentinel Lymph Node Small Intestine Resection Other Than For Tumor Soft Tissue Mass Except Lipoma Biopsy Simple Excision Stomach Subtotal Total Resection Other Than For Tumor Testis Biopsy Thymus Tumor Thyroid Total Lobe Ureter Resection Urinary Bladder Tur Uterus With Or Without Tubes And Ovaries Other Than Neoplastic Prolapse

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88307. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 88307 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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