Based on public Medicaid payment data.
Average Medicaid Pathology & Lab Services Payments
Typical Medicaid Pathology & Lab Services reimbursement across 2,859 cities
Avg. Medicaid Paid
$36.12
Price Range
$0.00 – $405.07
Total Claims
69.1M
Cities
2859
Typical Payment Range
Typical Medicaid Pathology & Lab Services payments fall between $21.67 and $50.06 per claim (median: $34.23). The top 10% of payments exceed $74.70.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Laboratory testing and analysis of tissue, blood, and other specimens for diagnostic purposes. Includes surgical pathology and clinical laboratory tests.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| West Hills, CA | $16.14 | $0.00 – $20.87 | 1,726,148 | 6 |
| Phoenix, AZ | $39.83 | $0.00 – $231.60 | 1,511,310 | 133 |
| Burlington, NC | $22.04 | $3.48 – $143.15 | 1,401,627 | 11 |
| Elmwood Park, NJ | $27.20 | $15.07 – $44.12 | 1,131,854 | 4 |
| Raritan, NJ | $12.74 | $12.74 – $12.74 | 1,102,506 | 1 |
| Charleston, WV | $20.19 | $0.00 – $130.65 | 1,043,744 | 43 |
| San Diego, CA | $26.07 | $0.00 – $221.76 | 1,008,705 | 138 |
| New York, NY | $58.48 | $0.00 – $472.19 | 877,222 | 362 |
| Tampa, FL | $19.63 | $0.00 – $164.60 | 801,678 | 105 |
| Los Angeles, CA | $29.16 | $0.00 – $545.99 | 771,910 | 321 |
| Birmingham, AL | $26.99 | $0.00 – $277.78 | 763,384 | 123 |
| Seattle, WA | $24.43 | $0.00 – $485.24 | 707,020 | 188 |
| Sacramento, CA | $23.55 | $0.00 – $241.16 | 697,850 | 115 |
| Brooklyn, NY | $72.20 | $1.25 – $488.56 | 660,243 | 152 |
| San Juan, PR | $77.12 | $0.00 – $192.19 | 603,331 | 54 |
| Boston, MA | $40.13 | $0.00 – $223.73 | 601,985 | 317 |
| Clifton, NJ | $27.68 | $23.74 – $110.78 | 586,839 | 4 |
| Nashville, TN | $31.97 | $0.00 – $115.44 | 564,814 | 153 |
| Lexington, KY | $57.76 | $0.00 – $104.08 | 523,628 | 100 |
| Cincinnati, OH | $35.70 | $0.00 – $159.82 | 509,179 | 161 |
| Chicago, IL | $35.07 | $0.00 – $311.33 | 493,672 | 212 |
| Columbus, OH | $35.94 | $0.00 – $106.97 | 489,493 | 209 |
| Detroit, MI | $27.49 | $1.24 – $119.94 | 489,371 | 41 |
| Las Vegas, NV | $16.17 | $0.00 – $874.78 | 465,265 | 69 |
| Memphis, TN | $30.67 | $0.00 – $117.66 | 463,919 | 122 |
| Cleveland, OH | $28.78 | $0.00 – $129.35 | 456,572 | 283 |
| Alpharetta, GA | $28.38 | $1.46 – $61.95 | 436,169 | 16 |
| Modesto, CA | $39.07 | $0.00 – $70.34 | 434,218 | 53 |
| Marlborough, MA | $22.30 | $0.00 – $27.59 | 429,824 | 4 |
| Shelton, CT | $44.09 | $0.00 – $196.57 | 381,546 | 8 |
| Louisville, KY | $50.94 | $0.00 – $343.49 | 372,250 | 81 |
| Coppell, TX | $38.62 | $8.86 – $38.68 | 369,226 | 3 |
| Milwaukee, WI | $19.62 | $0.00 – $85.84 | 366,796 | 93 |
| Indianapolis, IN | $40.32 | $0.00 – $452.55 | 363,413 | 146 |
| Tucson, AZ | $53.54 | $0.00 – $115.44 | 341,136 | 60 |
| Denver, CO | $26.97 | $0.00 – $107.82 | 325,588 | 87 |
| New Haven, CT | $25.60 | $0.00 – $138.63 | 321,723 | 82 |
| Dallas, TX | $31.75 | $0.00 – $1,572 | 304,136 | 175 |
| Baltimore, MD | $39.53 | $0.00 – $156.20 | 303,590 | 162 |
| Albuquerque, NM | $54.19 | $0.00 – $145.19 | 296,004 | 74 |
| Houston, TX | $37.40 | $0.00 – $1,252 | 287,365 | 247 |
| Brentwood, TN | $37.47 | $0.00 – $61.20 | 279,372 | 53 |
| Tucker, GA | $21.43 | $20.65 – $40.56 | 272,354 | 2 |
| Ann Arbor, MI | $28.96 | $0.00 – $129.49 | 271,434 | 41 |
| Wood Dale, IL | $24.65 | $24.65 – $24.65 | 264,996 | 1 |
| Miramar, FL | $24.72 | $3.25 – $24.77 | 260,644 | 3 |
| Spokane Valley, WA | $40.51 | $0.00 – $95.44 | 252,224 | 54 |
| Clovis, CA | $4.68 | $1.98 – $38.75 | 251,622 | 22 |
| Philadelphia, PA | $42.59 | $0.00 – $1,896 | 249,924 | 244 |
| Portland, OR | $55.18 | $0.00 – $181.10 | 248,607 | 178 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 88305 | Surgical pathology level IV | $43.26 | 33,352,065 | 19,029 |
| 88175 | Cytopathology ThinPrep | $15.65 | 17,357,978 | 3,878 |
| 88342 | Immunohistochemistry 1st | $31.10 | 4,789,088 | 7,877 |
| 88304 | Surgical pathology level III | $16.71 | 3,866,853 | 7,943 |
| 88307 | Surgical pathology level V | $64.86 | 3,481,099 | 7,457 |
| 88312 | Special stains group I | $44.11 | 2,331,523 | 3,354 |
| 88313 | Special stains group II | $36.51 | 1,714,455 | 2,520 |
| 88341 | Immunohistochemistry each | $61.75 | 1,105,147 | 2,700 |
| 88112 | Cytopathology selective cell | $22.38 | 1,090,548 | 2,321 |
| 88185 | Flow cytometry each addl | $127.67 | 495,262 | 404 |
| 88184 | Flow cytometry 1st marker | $32.07 | 461,077 | 409 |
| 88300 | Surgical pathology gross | $9.56 | 452,431 | 1,569 |
| 88311 | Decalcification procedure | $6.06 | 406,574 | 1,598 |
| 88108 | Cytopathology concentrate | $16.61 | 329,898 | 1,088 |
| 88189 | Flow cytometry 16+ markers | $39.42 | 282,439 | 711 |
| 88173 | Cytopathology eval FNA interp | $47.98 | 282,106 | 840 |
| 88360 | Morphometric tumor analysis | $53.44 | 252,520 | 408 |
| 88302 | Surgical pathology gross micro | $13.57 | 223,940 | 1,364 |
| 88291 | Cytogenetics interpret report | $13.78 | 103,955 | 162 |
| 88187 | Flow cytometry 2-8 markers | $24.34 | 97,065 | 100 |
| 88230 | Tissue culture lymphocyte | $53.53 | 80,629 | 70 |
| 88262 | Chromosome analysis 15-20 | $57.97 | 80,420 | 78 |
| 88237 | Tissue culture bone marrow | $57.33 | 72,765 | 97 |
| 88374 | Morphometric analysis tumor IHC | $97.11 | 72,021 | 44 |
| 88172 | Cytopathology eval FNA | $37.75 | 67,493 | 203 |
| 88377 | Morphometric analysis tumor ISH | $107.24 | 66,832 | 109 |
| 88365 | In situ hybridization (FISH) | $72.18 | 65,175 | 65 |
| 88346 | Immunofluorescence each | $26.70 | 54,893 | 168 |
| 88104 | Cytopathology fluids | $16.11 | 52,729 | 180 |
| 88271 | Chromosome banding | $43.42 | 48,982 | 82 |
| 88321 | Pathology consultation | $41.03 | 47,344 | 181 |
| 88361 | In situ hybridization (ISH) | $92.47 | 47,059 | 33 |
| 88182 | Flow cytometry cell cycle | $70.61 | 44,055 | 27 |
| 88264 | Chromosome analysis 20-25 amni | $53.10 | 37,283 | 61 |
| 88356 | Morphometric analysis nerve | $124.76 | 32,297 | 13 |
| 88275 | Chromosome fragility study | $48.60 | 30,698 | 60 |
| 88325 | Pathology consultation comprehensive | $69.99 | 30,582 | 13 |
| 88331 | Frozen section pathology | $52.63 | 21,424 | 126 |
| 88314 | Histochemical staining | $53.49 | 20,120 | 18 |
| 88188 | Flow cytometry 9-15 markers | $40.72 | 19,664 | 137 |
| 88280 | Chromosome karyotype study | $17.32 | 19,562 | 50 |
| 88348 | Electron microscopy | $65.31 | 16,368 | 79 |
| 88323 | Pathology consultation complex | $38.58 | 13,633 | 40 |
| 88235 | Tissue culture fetal skin | $71.81 | 13,315 | 16 |
| 88364 | In situ hybridization addl | $76.37 | 13,135 | 26 |
| 88285 | Chromosome add karyotype | $11.45 | 12,275 | 14 |
| 88274 | Chromosome analysis interphase | $28.54 | 11,282 | 16 |
| 88309 | Surgical pathology level VI | $113.10 | 10,091 | 54 |
| 88267 | Chromosome analysis amniotic | $87.99 | 8,794 | 5 |
| 88289 | Chromosome add study | $12.31 | 8,572 | 15 |
| 88367 | Morphometric in situ hybrid | $39.30 | 7,779 | 14 |
| 88373 | Morphometric analysis quant | $23.36 | 7,057 | 7 |
| 88160 | Cytopathology smear other | $26.96 | 4,211 | 40 |
| 88333 | Cytopathology FNA addl site | $23.14 | 4,140 | 43 |
| 88368 | Morphometric analysis manual | $20.87 | 3,481 | 29 |
| 88261 | Chromosome analysis 50-100 | $199.31 | 2,814 | 10 |
| 88233 | Tissue culture skin/biopsy | $75.17 | 2,536 | 3 |
| 88369 | Morphometric analysis computer | $20.89 | 2,159 | 21 |
| 88363 | Exam & select tissue FISH | $5.90 | 1,717 | 20 |
| 88161 | Cytopathology smear prep | $45.02 | 1,545 | 14 |
| 88269 | Chromosome analysis chorionic | $90.29 | 1,392 | 2 |
| 88366 | FISH each addl probe | $55.73 | 782 | 6 |
| 88332 | Frozen section addl tissue | $117.88 | 742 | 2 |
| 88329 | Pathology consultation clinical | $12.50 | 475 | 16 |
| 88334 | Cytopathology FNA addl eval | $21.28 | 371 | 11 |
| 88272 | Chromosome high resolution | $12.79 | 157 | 1 |
| 88239 | Tissue culture tumor | $0.00 | 118 | 1 |
| 88355 | Morphometric analysis bone | $0.00 | 109 | 1 |
| 88263 | Chromosome analysis 20-25 | $76.05 | 65 | 1 |
| 88273 | Chromosome analysis count only | $0.00 | 13 | 1 |
| 88283 | Chromosome banding high res | — | — | — |
| 88362 | Nerve teasing preparation | — | — | — |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.