Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 88342 Fee Schedule
Last Verified: October 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.
Immunohistochemistry Or Immuno, Immunohistochemistry Or Immunocytochemistry Each Separately Identifiable Antibody Per Block Cytologic Preparation Or Hematologic Smear First Separately Identifiable Antibody Per Slide
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Surgical Pathology Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $110.22 national non-facility rate (2026) · View Medicare rates for 88342 |
| Medicaid Fee Schedule | $91.36 median of the 8 states in the free preview · View Medicaid rates for 88342 |
National average reimbursement for CPT 88342 by major payers:
$112.30
$86.32
$121.67
$109.33
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 88342.
CPT 88342
5 of 25 sample ratesHigher to lower in this preview
Neha Sharma
Mymichigan Medical Center West Branch
$167.94Published rateRaul Vera-Gimon
Osceola Cancer Center
$57.24Published rateMaria Dominguez
Baptist Health Medical Group Oncology LLC
$48.72Published rateFrederic Wien
Westchester Medical Center Advanced Physician Services, P.C
$34.31Published rateShahid Mehboob
Gastroenterology Associates, LLP
$14.85Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 88342 vs. Other Surgical Pathology Procedures Codes
The CPT 88342 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 88342 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 |
|---|---|---|
| 88341-CPT | Low | Immunohistochemistry Or Immuno, Immunohistochemistry Or Immunocytochemistry Per Specimen Each Additional Single Antibody Stain Procedure (List Separately In Addition To Code For Primary Procedure) |
| 88342-CPT | Low | Immunohistochemistry Or Immuno, Immunohistochemistry Or Immunocytochemistry Each Separately Identifiable Antibody Per Block Cytologic Preparation Or Hematologic Smear First Separately Identifiable Antibody Per Slide |
| 88344-CPT | Low | Typing Of Diseased Cells, Microscopic Examination Of A Tissue Sample. It Is Usually Used To Identify The Type Of Cancer Present (Or Predict The Outcome Of A Cancer). |
| 88350-CPT | Low | Immune Study Tissue Sample, For This Study Antibodies From A Tissue Sample Are Treated With Fluorescent Dye And Then Examined Under A Microscope. Intensity Pattern And Distribution Of The Antibodies Aid Diagnosis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88342. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88342 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 88342) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
To find out the estimated cost of a specific medical procedure or service, you can first contact your healthcare provider's billing department or your insurance company for an estimate based on your plan. For a more direct way to look up average prices based on CPT codes and your specific location, you can use specialized tools. Payerprice, for example, offers a fee schedule lookup tool that allows you to search for costs, helping you understand potential expenses.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit alphanumeric codes used by healthcare providers and payers to describe medical, surgical, and diagnostic services. They are crucial for accurate billing, processing of insurance claims, and for patients, knowing the CPT code helps you research and compare the cost of specific services.
Healthcare costs can vary significantly due to multiple factors, including the specific provider or facility (e.g., hospital vs. independent clinic), geographical location, negotiated rates between providers and different insurance companies, the complexity of the service, and whether the service is in-network or out-of-network. These variations make it challenging to predict the exact cost without specific details and tools.
To understand what your insurance plan will cover, you should directly contact your insurance provider. They can explain your benefits, deductible, co-pays, co-insurance, and out-of-pocket maximums. For planned procedures, it's often advisable to request a pre-authorization or pre-determination of benefits to get an estimate of your financial responsibility before the service.
To find a fee schedule or to estimate costs for specific medical services based on CPT codes and your location, you can use specialized tools designed for price transparency. Payerprice, for example, offers a fee schedule lookup tool where you can search using CPT codes. This can be a valuable resource for comparing prices and understanding potential expenses before a procedure, allowing you to make more informed decisions.