# CPT 88309: Level VI surgical pathology, gross and microscopic examination

Medicare 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.

Web page: https://www.med-reveal.com/rates/88309-cpt-fee-schedule
Section: Laboratory and Pathology
Billed by: Dermatology, Pathology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $413.50 |
| National facility | $413.50 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $454.98 | $454.98 |
| Connecticut | $440.59 | $440.59 |
| Colorado | $434.28 | $434.28 |
| Oregon | $430.38 | $430.38 |
| Maryland | $428.51 | $428.51 |
| 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 | $408.83 | $408.83 |
| 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 |

## 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
- 88305: Level IV surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88305-cpt-fee-schedule
- 88307: Level V surgical pathology, gross and microscopic examination — https://www.med-reveal.com/rates/88307-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 88309 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