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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Surgical Pathology Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $81.83 national non-facility rate (2026) · View Medicare rates for 88314 |
| Medicaid Fee Schedule | $72.67 median of the 8 states in the free preview · View Medicaid rates for 88314 |
National average reimbursement for CPT 88314 by major payers:

$105.72

$76.11

$102.88

$94.17
Choose a payer to see a sample of rates for CPT 88314.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Baycare Home Care, Inc.
Baycare Home Care Inc
Christopher Raio
St Joseph Hospital
Christopher Raio
Good Samaritan Hosptial Medical Center
E And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 88314 vs. Other Surgical Pathology Procedures Codes
The CPT 88314 code is part of the Pathology and Laboratory Procedures services used for Surgical Pathology 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 88314 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 |
|---|---|---|
| 88311-CPT | Low | Decalcification Proc (List Sepa In Addition To Code For Sur, Decalcification Procedure (List Separately In Addition To Code For Sur |
| 88312-CPT | Low | Special Stains (List Separatel, Special Stains (List Separately In Addition To Code Forsurgical Pathology Examination) Group I For Microorganisms (Eg Gridley Acid Fast Methenamine Silver) Each |
| 88313-CPT | Low | Special Stains Group 2, Special Stain Including Interpretation And Report Group Ii All Other Eg Iron Trichrome Except Stain For Microorganisms Stains For Enzyme Constituents Or Immunocytochemistry And Immunohistochemistry |
| 88314-CPT | Low | Special Stains Histochemical, Special Stains Histochemical Staining With Frozensection(S) Including Interpretation And Report ( List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88314. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88314 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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