CPT 88309

Level Vi Surg Pathology Gross&Microscopic Exam

CPT 88309 pays $413.50 in a non-facility setting and $413.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $366.91 in Arkansas to $478.33 in Alaska, a 30% spread.

National non-facility rate

$413.50

Office and other outpatient settings

Facility rate
$413.50

Hospital and ASC settings

Highest state
$478.33

Alaska

Lowest state
$366.91

Arkansas · 30% 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 $413.50
CPT 88309 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $413.50, national facility $413.50.
StateRate compared visuallyNon-facilityFacility
Alaska
$478.33$478.33
District of Columbia
$475.58$475.58
California
$473.70$473.70
Washington
$460.33$460.33
New Jersey
$458.67$458.67
New York
$455.90$455.90
Hawaii
$455.80$455.80
Massachusetts
$454.97$454.97
Connecticut
$440.59$440.59
Colorado
$434.28$434.28
Oregon
$430.37$430.37
Maryland
$428.50$428.50
New Hampshire
$426.16$426.16
Rhode Island
$425.40$425.40
Minnesota
$420.40$420.40
Florida
$417.73$417.73
Puerto Rico
$416.96$416.96
Virgin Islands
$416.96$416.96
Montana
$413.50$413.50
Nevada
$413.26$413.26
Wyoming
$412.63$412.63
North Dakota
$411.52$411.52
South Dakota
$411.29$411.29
Delaware
$409.79$409.79
Texas
$408.82$408.82
Vermont
$408.66$408.66
Pennsylvania
$408.02$408.02
Virginia
$407.10$407.10
Illinois
$406.10$406.10
Arizona
$403.13$403.13
Georgia
$399.62$399.62
Maine
$398.06$398.06
Wisconsin
$397.79$397.79
Michigan
$395.41$395.41
Utah
$394.02$394.02
North Carolina
$390.93$390.93
South Carolina
$388.76$388.76
Indiana
$388.50$388.50
New Mexico
$387.70$387.70
Missouri
$387.19$387.19
Nebraska
$386.86$386.86
Idaho
$386.22$386.22
Louisiana
$385.91$385.91
Ohio
$385.78$385.78
Iowa
$384.38$384.38
Tennessee
$382.93$382.93
Kansas
$381.22$381.22
Oklahoma
$378.63$378.63
Kentucky
$377.81$377.81
West Virginia
$373.16$373.16
Alabama
$372.18$372.18
Mississippi
$368.29$368.29
Arkansas
$366.91$366.91

Billed by 2 specialties

Commercial rates for 88309

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

See negotiated rates