# CPT 88305: Level IV surgical pathology, gross and microscopic examination

Medicare 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.

Web page: https://www.med-reveal.com/rates/88305-cpt-fee-schedule
Section: Laboratory and Pathology
Billed by: Dermatology, Pathology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $70.14 |
| National facility | $70.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $84.96 | $84.96 |
| District of Columbia | $79.56 | $79.56 |
| California | $78.98 | $78.98 |
| New Jersey | $77.13 | $77.13 |
| Washington | $77.08 | $77.08 |
| New York | $76.75 | $76.75 |
| Massachusetts | $76.31 | $76.31 |
| Hawaii | $76.04 | $76.04 |
| Connecticut | $74.24 | $74.24 |
| Colorado | $73.17 | $73.17 |
| Oregon | $72.57 | $72.57 |
| 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 | $69.49 | $69.49 |
| Vermont | $69.36 | $69.36 |
| Illinois | $69.32 | $69.32 |
| Virginia | $69.18 | $69.18 |
| Arizona | $68.65 | $68.65 |
| Georgia | $68.24 | $68.24 |
| Maine | $67.88 | $67.88 |
| 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 |

## Related codes

- 88300: Level I surgical pathology, gross examination only — https://www.med-reveal.com/rates/88300-cpt-fee-schedule
- 88302: Level II surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88302-cpt-fee-schedule
- 88304: Level III surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88304-cpt-fee-schedule
- 88307: Level V surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88307-cpt-fee-schedule
- 88309: Level VI surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88309-cpt-fee-schedule
- 88311: Decalcification procedure — https://www.med-reveal.com/rates/88311-cpt-fee-schedule
- 88312: Special stain, group I, microorganisms — https://www.med-reveal.com/rates/88312-cpt-fee-schedule
- 88313: Special stain, group II, non-microorganism — https://www.med-reveal.com/rates/88313-cpt-fee-schedule

Commercial negotiated rates for 88305 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