CPT 88304

Level Iii Surg Pathology Gross&Microscopic Exam

CPT 88304 pays $41.08 in a non-facility setting and $41.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $36.05 in Arkansas to $47.48 in District of Columbia, a 32% spread.

National non-facility rate

$41.08

Office and other outpatient settings

Facility rate
$41.08

Hospital and ASC settings

Highest state
$47.48

District of Columbia

Lowest state
$36.05

Arkansas · 32% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $41.08
CPT 88304 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $41.08, national facility $41.08.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$47.48$47.48
California
$47.15$47.15
Alaska
$46.46$46.46
Washington
$45.84$45.84
New Jersey
$45.71$45.71
New York
$45.52$45.52
Hawaii
$45.38$45.38
Massachusetts
$45.30$45.30
Connecticut
$43.94$43.94
Colorado
$43.16$43.16
Oregon
$42.74$42.74
Maryland
$42.65$42.65
New Hampshire
$42.37$42.37
Rhode Island
$42.25$42.25
Florida
$41.83$41.83
Minnesota
$41.58$41.58
Puerto Rico
$41.44$41.44
Virgin Islands
$41.44$41.44
Montana
$41.08$41.08
Nevada
$41.00$41.00
Wyoming
$40.91$40.91
North Dakota
$40.69$40.69
Delaware
$40.65$40.65
South Dakota
$40.64$40.64
Illinois
$40.59$40.59
Texas
$40.56$40.56
Pennsylvania
$40.51$40.51
Vermont
$40.42$40.42
Virginia
$40.32$40.32
Arizona
$39.95$39.95
Georgia
$39.69$39.69
Maine
$39.35$39.35
Michigan
$39.32$39.32
Wisconsin
$39.22$39.22
Utah
$39.01$39.01
North Carolina
$38.60$38.60
New Mexico
$38.45$38.45
South Carolina
$38.44$38.44
Missouri
$38.32$38.32
Indiana
$38.30$38.30
Louisiana
$38.21$38.21
Ohio
$38.18$38.18
Nebraska
$38.10$38.10
Idaho
$38.06$38.06
Iowa
$37.84$37.84
Tennessee
$37.73$37.73
Kansas
$37.55$37.55
Oklahoma
$37.36$37.36
Kentucky
$37.32$37.32
West Virginia
$37.00$37.00
Alabama
$36.62$36.62
Mississippi
$36.27$36.27
Arkansas
$36.05$36.05

Billed by 2 specialties

Commercial rates for 88304

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates