CPT 88346 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Pathology and Laboratory Procedures • Surgical Pathology Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 81 - Independent Laboratory |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 88346 |
National average reimbursement for CPT 88346 by major payers:
$154.50
$96.87
$142.49
$139.58
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 88346 | ||||||
United | 88346 | $128.47 | 1225566839 - TERESA RO | 560960506 - (NC) TRIANGLE DERMATOLOGY ASSOCIATES | NC | Dermatology Physician (207N00000X) |
United | 88346 | $22.42 | 1245751403 - BLUEWATER DERMATOLOGY AND SKIN CANCER CENTER PA | 821800921 - (NC) BLUEWATER DERMATOLOGY AND SKIN CANCER CENTER, PA | NC | MOHS-Micrographic Surgery Physician (207ND0101X) |
United | 88346 | $33.77 | 1871579110 - WILLIAM SUMNER | 561748937 - (NC) DERMATOLOGY GROUP OF THE CAROLINAS | NC | Procedural Dermatology Physician (207NS0135X) |
United | 88346 | $25.82 | 1447463518 - DANIEL ZEDEK | 562205718 - THE SKIN SURGERY CENTER | NC | Dermatopathology (Pathology) Physician (207ZD0900X) |
United | 88346 | $81.61 | 1144396342 - CAROL TRAKIMAS | 391351587 - FOREFRONT DERMATOLOGY, S.C. | NC | Dermatology Physician (207N00000X) |
United | 88346 | $58.74 | 1578763140 - BRETT SUMMEY | 561215904 - (NC) BOONE DERMATOLOGY CLINIC, P.A. | NC | Dermatology Physician (207N00000X) |
United | 88346 | $30.02 | 1003806928 - COLEMAN ALTMAN | 561004551 - CHARLOTTE DERMATOLOGY | NC | Dermatology Physician (207N00000X) |
United | 88346 | $33.77 | 1316391410 - JESSIKA DAVIS | 550801575 - (NC) ADVANCED DERMATOLOGY AND SKIN SURGERY, PA | NC | Dermatology Physician (207N00000X) |
United | 88346 | $121.23 | 1962624478 - CRAIG BURKHART | 834280385 - (NC) BURKHART PEDIATRIC ADOLESCENT DERMATOLOGY PLLC | NC | Dermatology Physician (207N00000X) |
United | 88346 | $25.82 | 1003226051 - MARIO MITKOV | 562205718 - THE SKIN SURGERY CENTER | NC | Dermatology Physician (207N00000X) |
United | 88346 | $24.13 | 1265768485 - GEORGE MAGEL | 561881165 - (NC) PIEDMONT PLASTIC SURGERY & DERMATOLOGY, P.A. | NC | Dermatology Physician (207N00000X) |
United | 88346 | $20.71 | 1437749330 - SUMMIT PLASTIC SURGERY & DERMATOLOGY, PLLC | 870961238 - (NC) SUMMIT PLASTIC SURGERY DERMATOLOGY PLLC | NC | Dermatology Physician (207N00000X) |
United | 88346 | $58.74 | 1437153954 - WILLIAM ENGSTROM | 561215904 - (NC) BOONE DERMATOLOGY CLINIC, P.A. | NC | Dermatology Physician (207N00000X) |
United | 88346 | $50.70 | 1992750319 - MARGARET BOYSE | 223864190 - (NC) SOUTHERN DERMATOLOGY, PA | NC | Dermatology Physician (207N00000X) |
United | 88346 | $59.45 | 1649237082 - SKIN SURGERY CENTER PA | 562205718 - THE SKIN SURGERY CENTER | NC | Dermatology Physician (207N00000X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 88346 vs. Other Surgical Pathology Procedures Codes
The CPT 88346 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 88346 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 Immunocytochemistry, Per Specimen; Each Additional Single Antibody Stain Procedure (List Separately In Addition To Code For Primary Procedure) |
| 88342-CPT | Low | Immunohistochemistry Or Immunocytochemistry Per Specimen; Initial Single Antibody Stain Procedure (Desc Revised 01/01/15) Separately Identifiable Antibody Per Slide (Revised 01/01/2014) |
| 88344-CPT | Low | Immunohistochemistry Or Immunocytochemistry, Per Specimen; Each Multiplex Antibody Stain Procedure |
| 88346-CPT | Low | Immunofluorescnt Stdy,Ea Antbdy;Dir |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 88346. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 88346 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 88346) and we'll show you how you compare in 15 minutes or less.