CPT 88305

Level Iv Surg Pathology Gross&Microscopic Exam

CPT 88305 pays $70.14 in a non-facility setting and $70.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $63.46 in Arkansas to $84.96 in Alaska, a 34% spread.

National non-facility rate

$70.14

Office and other outpatient settings

Facility rate
$70.14

Hospital and ASC settings

Highest state
$84.96

Alaska

Lowest state
$63.46

Arkansas · 34% 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 $70.14
CPT 88305 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $70.14, national facility $70.14.
StateRate compared visuallyNon-facilityFacility
Alaska
$84.96$84.96
District of Columbia
$79.56$79.56
California
$78.97$78.97
New Jersey
$77.13$77.13
Washington
$77.08$77.08
New York
$76.75$76.75
Massachusetts
$76.30$76.30
Hawaii
$76.04$76.04
Connecticut
$74.24$74.24
Colorado
$73.17$73.17
Oregon
$72.56$72.56
Maryland
$72.43$72.43
Rhode Island
$72.02$72.02
New Hampshire
$71.91$71.91
Minnesota
$70.98$70.98
Florida
$70.92$70.92
Puerto Rico
$70.63$70.63
Virgin Islands
$70.63$70.63
Montana
$70.14$70.14
Nevada
$70.08$70.08
Wyoming
$69.97$69.97
North Dakota
$69.75$69.75
South Dakota
$69.70$69.70
Delaware
$69.66$69.66
Texas
$69.53$69.53
Pennsylvania
$69.48$69.48
Vermont
$69.36$69.36
Illinois
$69.31$69.31
Virginia
$69.18$69.18
Arizona
$68.65$68.65
Georgia
$68.24$68.24
Maine
$67.89$67.89
Wisconsin
$67.79$67.79
Michigan
$67.66$67.66
Utah
$67.37$67.37
North Carolina
$66.88$66.88
South Carolina
$66.61$66.61
New Mexico
$66.53$66.53
Indiana
$66.51$66.51
Missouri
$66.42$66.42
Louisiana
$66.25$66.25
Nebraska
$66.25$66.25
Ohio
$66.22$66.22
Idaho
$66.18$66.18
Iowa
$65.91$65.91
Tennessee
$65.73$65.73
Kansas
$65.48$65.48
Oklahoma
$65.17$65.17
Kentucky
$65.08$65.08
West Virginia
$64.52$64.52
Alabama
$64.22$64.22
Mississippi
$63.70$63.70
Arkansas
$63.46$63.46

Billed by 2 specialties

Commercial rates for 88305

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

See negotiated rates