# CPT 88104: Cytopathology, fluids/washings, smears with interpretation

Medicare CPT 88104 pays $84.17 in a non-facility setting and $84.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $74.55 in Arkansas to $97.12 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/88104-cpt-fee-schedule
Section: Laboratory and Pathology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $84.17 |
| National facility | $84.17 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $97.12 | $97.12 |
| District of Columbia | $96.81 | $96.81 |
| California | $96.25 | $96.25 |
| Washington | $93.60 | $93.60 |
| New Jersey | $93.36 | $93.36 |
| New York | $92.89 | $92.89 |
| Hawaii | $92.63 | $92.63 |
| Massachusetts | $92.54 | $92.54 |
| Connecticut | $89.74 | $89.74 |
| Colorado | $88.32 | $88.32 |
| Oregon | $87.51 | $87.51 |
| Maryland | $87.24 | $87.24 |
| New Hampshire | $86.70 | $86.70 |
| Rhode Island | $86.55 | $86.55 |
| Minnesota | $85.34 | $85.34 |
| Florida | $85.33 | $85.33 |
| Puerto Rico | $84.87 | $84.87 |
| Virgin Islands | $84.87 | $84.87 |
| Montana | $84.17 | $84.17 |
| Nevada | $84.07 | $84.07 |
| Wyoming | $83.91 | $83.91 |
| North Dakota | $83.58 | $83.58 |
| South Dakota | $83.50 | $83.50 |
| Delaware | $83.38 | $83.38 |
| Texas | $83.20 | $83.20 |
| Pennsylvania | $83.07 | $83.07 |
| Vermont | $83.03 | $83.03 |
| Illinois | $82.96 | $82.96 |
| Virginia | $82.77 | $82.77 |
| Arizona | $82.02 | $82.02 |
| Georgia | $81.41 | $81.41 |
| Maine | $80.91 | $80.91 |
| Wisconsin | $80.76 | $80.76 |
| Michigan | $80.63 | $80.63 |
| Utah | $80.18 | $80.18 |
| North Carolina | $79.47 | $79.47 |
| South Carolina | $79.10 | $79.10 |
| New Mexico | $78.99 | $78.99 |
| Indiana | $78.92 | $78.92 |
| Missouri | $78.82 | $78.82 |
| Louisiana | $78.58 | $78.58 |
| Nebraska | $78.56 | $78.56 |
| Ohio | $78.54 | $78.54 |
| Idaho | $78.46 | $78.46 |
| Iowa | $78.06 | $78.06 |
| Tennessee | $77.81 | $77.81 |
| Kansas | $77.45 | $77.45 |
| Oklahoma | $77.01 | $77.01 |
| Kentucky | $76.89 | $76.89 |
| West Virginia | $76.11 | $76.11 |
| Alabama | $75.64 | $75.64 |
| Mississippi | $74.90 | $74.90 |
| Arkansas | $74.55 | $74.55 |

## Related codes

- 88106: Cytopathology, filter method, smears with interpretation — https://www.med-reveal.com/rates/88106-cpt-fee-schedule
- 88108: Cytopathology, concentration technique, smears — https://www.med-reveal.com/rates/88108-cpt-fee-schedule
- 88112: Cytopathology, selective cellular enhancement technique — https://www.med-reveal.com/rates/88112-cpt-fee-schedule
- 88120: Cytopathology, in situ hybridization, urinary tract specimen, computer-assisted — https://www.med-reveal.com/rates/88120-cpt-fee-schedule
- 88121: Cytopathology, in situ hybridization, urinary tract specimen, manual — https://www.med-reveal.com/rates/88121-cpt-fee-schedule
- 88125: Cytopathology, forensic — https://www.med-reveal.com/rates/88125-cpt-fee-schedule
- 88141: Cytopathology, cervical/vaginal, requiring interpretation by physician — https://www.med-reveal.com/rates/88141-cpt-fee-schedule
- 88142: Cytopathology, cervical/vaginal, thin layer preparation, manual screening — https://www.med-reveal.com/rates/88142-cpt-fee-schedule

Commercial negotiated rates for 88104 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules