# CPT 88321: Consultation and report on referred slides

Medicare CPT 88321 pays $93.86 in a non-facility setting and $67.47 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $87.31 in Arkansas to $121.86 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/88321-cpt-fee-schedule
Section: Laboratory and Pathology
Billed by: Dermatology, Pathology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $93.86 |
| National facility | $67.47 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $121.86 | $93.76 |
| District of Columbia | $103.83 | $72.74 |
| California | $101.73 | $70.51 |
| New York | $101.66 | $72.22 |
| New Jersey | $101.63 | $71.92 |
| Washington | $100.41 | $70.34 |
| Massachusetts | $99.75 | $70.10 |
| Connecticut | $98.37 | $69.95 |
| Hawaii | $98.13 | $68.13 |
| Colorado | $96.44 | $68.36 |
| Maryland | $96.36 | $68.85 |
| Florida | $96.20 | $69.73 |
| Rhode Island | $95.88 | $68.62 |
| Oregon | $95.69 | $67.90 |
| New Hampshire | $95.14 | $67.67 |
| Illinois | $94.88 | $69.38 |
| Puerto Rico | $94.24 | $67.57 |
| Virgin Islands | $94.24 | $67.57 |
| Montana | $93.85 | $67.47 |
| Pennsylvania | $93.71 | $67.87 |
| Nevada | $93.50 | $67.09 |
| Delaware | $93.42 | $67.35 |
| Texas | $93.39 | $67.41 |
| Minnesota | $93.32 | $66.17 |
| Wyoming | $93.25 | $66.86 |
| Georgia | $92.63 | $67.46 |
| Virginia | $92.52 | $66.58 |
| Michigan | $92.47 | $67.69 |
| North Dakota | $92.47 | $66.08 |
| Arizona | $92.33 | $66.76 |
| Vermont | $92.32 | $66.19 |
| South Dakota | $92.30 | $65.92 |
| Utah | $91.31 | $66.51 |
| Maine | $91.28 | $66.06 |
| New Mexico | $91.14 | $66.94 |
| Missouri | $90.66 | $66.44 |
| Louisiana | $90.63 | $66.54 |
| Wisconsin | $90.63 | $65.35 |
| South Carolina | $90.59 | $66.21 |
| Ohio | $90.53 | $66.44 |
| North Carolina | $90.44 | $65.82 |
| Indiana | $89.85 | $65.39 |
| West Virginia | $89.83 | $66.90 |
| Idaho | $89.55 | $65.28 |
| Nebraska | $89.44 | $65.09 |
| Kentucky | $89.39 | $65.94 |
| Tennessee | $89.28 | $65.29 |
| Oklahoma | $89.23 | $65.66 |
| Iowa | $89.18 | $65.04 |
| Kansas | $89.01 | $65.16 |
| Alabama | $88.04 | $64.95 |
| Mississippi | $87.91 | $65.19 |
| Arkansas | $87.31 | $64.64 |

## 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
- 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

Commercial negotiated rates for 88321 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