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CPT code 88307: Tissue pathology exam, level V specimen2026 Medicare rate & RVUs in Queens, NY

Gross and microscopic pathologist examination of a Level V surgical specimen, such as a liver biopsy, cervical cone, or breast lesion excision.

CMS RVU26DEffective Oct 1, 2026One payment locality904K Medicare services in 2024

In Queens, NY, Medicare pays $322.97 for 88307 in the office.

$322.97Office (non-facility)
Not available in this settingHospital or facility
+16.2%vs the national office rate ($277.90)

Check a contract rate as a % of Medicare · 88307 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 88307 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 88307 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 88307 covers

This service covers gross and microscopic examination of a specimen assigned to Level V surgical pathology. Level V includes certain biopsies as well as excisions and resections. Examples include needle or wedge liver biopsies, cervical conization, breast lesion excisions, simple mastectomy, thyroid lobectomy, transurethral resection of a bladder tumor, and lung wedge biopsy. The work is performed in hospital pathology departments and independent laboratories, with a pathologist issuing a signed diagnostic report.

Report one unit for each distinct specimen assigned to Level V, not for each tissue fragment, block, or slide. Select the level from the CPT specimen classification; the report should identify the specimen and document the gross and microscopic findings. CMS prices professional and technical components separately: modifier 26 identifies the pathologist's interpretation and report, and modifier TC identifies laboratory preparation and support. Report the global service without a modifier when one entity provides both components. When separately indicated and documented, additional services such as special stains, immunohistochemistry, decalcification, or intraoperative frozen-section consultation may be reported with the final examination.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Queens, NY compares for 88307

Across 109 of 109 payment localities, the office rate for 88307 runs from $245.21 in Arkansas to $381.42 in San Benito County, CA. Queens, NY pays $322.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

88307 in Queens, NY vs other payment areas
  1. Queens, NY · this page$322.97
  2. Manhattan, NY · New York$318.83−$4.14
  3. NYC suburbs and Long Island, NY · New York$325.51+$2.54
  4. Poughkeepsie and northern NYC suburbs, NY · New York$301.98−$20.99
  5. Rest of New York · New York$266.01−$56.96
  6. Los Angeles, CA · California$320.19−$2.78
  7. Washington, DC area · District of Columbia$320.79−$2.18

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

88307 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$290.65—
Chicago, ILIllinois$282.40—
AlaskaAlaska$317.28—
AlabamaAlabama$248.91—
ArkansasArkansas$245.21—
ArizonaArizona$270.62—
Bakersfield, CACalifornia$299.45—
Chico, CACalifornia$299.17—

88307 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$245.21

$340.30

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
88307 office rate range by state
State / territoryOffice rate rangeLocalities
AK$317.281
AL$248.911
AR$245.211
AZ$270.621
CA$299.17–$381.4229
CO$292.331
CT$296.651
DC$320.791
DE$275.231
FL$269.22–$290.653
GA$254.18–$282.102
GU$307.571
HI$307.571
IA$257.461
ID$258.761
IL$259.74–$286.114
IN$260.361
KS$255.251
KY$252.861
LA$252.06–$265.012
MA$290.11–$323.182
MD$280.91–$320.793
ME$259.11–$275.022
MI$258.73–$271.672
MN$282.741
MO$246.95–$267.163
MS$246.181
MT$277.891
NC$262.061
ND$276.511
NE$259.211
NH$286.781
NJ$300.78–$317.122
NM$259.791
NV$277.731
NY$266.01–$325.515
OH$258.441
OK$253.431
OR$276.31–$302.972
PA$259.42–$288.452
PR$280.321
RI$286.011
SC$260.541
SD$276.341
TN$256.451
TX$257.59–$290.718
UT$264.231
VA$273.40–$320.792
VI$280.321
VT$274.501
WA$289.87–$330.862
WI$266.881
WV$249.591
WY$277.291

See 88307 in every payment locality

How the 88307 rate is calculated

Each of 88307’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 88307

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.55

1.55 RVUs× 1.000 GPCI

Practice expense6.70

6.70 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

8.3200

Conversion factor

$33.4009

Medicare rate

$277.90

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,209

Code
88307
Physician work
1.55
Practice expense
6.70
Malpractice
0.07

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 88307 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work1.55× 1.0641.6492
Practice expense6.70× 1.1827.9194
Malpractice0.07× 1.4420.1009
Total RVUs9.6695
Conversion factor× 33.4009

Office rate, Queens, NY$322.97

Office: (1.55 × 1.064 + 6.7 × 1.182 + 0.07 × 1.442) × $33.4009 = $322.97

Open 88307 in the RVU calculator

Payment rules and modifiers for 88307

The CMS indicators that decide how 88307 is paid alongside other services.

CMS payment indicators · 88307

Tissue pathology exam, level V specimen

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

88307 without 26 · national office

$277.90

Tissue pathology exam, level V specimen

88307-26 · Professional component

$76.49

Pays only the interpretation and report.

When to use modifier 26

Codes related to 88307

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 88307
CodeHow it relatesOffice range, Queens, NY
Same family
88305Tissue pathology exam, level IV specimenLevel IV surgical pathology for listed specimens such as prostate needle biopsies.$80.20
88309Tissue pathology, level VI specimenLevel VI surgical pathology for listed specimens such as colon segmental resections for tumor.$478.87
88304Tissue pathology exam, level III specimenLevel III surgical pathology for less complex specimens.$47.91
Often billed with
88331Frozen section, first block, one specimenFrozen-section consultation during surgery on a specimen later examined at Level V.$110.58
88342Antibody stain, first single antibody per specimenImmunohistochemistry for a first antibody, when indicated on a Level V specimen.$127.78
88312Special stain, group I, microorganismsGroup 1 special stains for microorganisms, when indicated on the examined tissue.$127.67
88311Tissue decalcification, calcified tissue preparationDecalcification of bone or calcified tissue before microscopic examination.$22.56
88313Special stain, group II, tissue constituentsGroup 2 special stains, such as iron or trichrome, on the examined tissue.$94.81

How 88307 has changed in Queens, NY

88307 · Office / nonfacility

$322.97

Effective 2026-10-01

The base rate is $3.37 lower than on 2025-10-01, moving from $326.34 to $322.97 (1.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $326.34changed to$322.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.59 changed to 1.55
    • Practice expense RVU 6.94 changed to 6.70
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $337.43changed to$326.34

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.98 changed to 6.94

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $331.92changed to$337.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $349.02changed to$331.92

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.97 changed to 6.98
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $351.47changed to$349.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.73 changed to 6.97
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $350.96changed to$351.47

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.65 changed to 6.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $335.11changed to$350.96

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.15 changed to 6.65
    • Malpractice RVU 0.06 changed to 0.08
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $321.75changed to$335.11

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.94 changed to 6.15
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $317.51changed to$321.75

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.85 changed to 5.94

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $317.46changed to$317.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.87 changed to 5.85
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $368.09changed to$317.46

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.07 changed to 5.87
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $361.81changed to$368.09

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.93 changed to 7.07
    • Malpractice RVU 0.04 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $360.01changed to$361.81

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $338.35changed to$360.01

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.41 changed to 6.93
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $348.66changed to$338.35

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.10 changed to 6.41
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $348.66

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$322.97Not available in this settingRVU26D
2026-07-01$322.97Not available in this settingRVU26C
2026-04-01$322.97Not available in this settingRVU26B
2026-01-01$322.97Not available in this settingRVU26A
2025-10-01$326.34Not available in this settingRVU25D
2025-07-01$326.34Not available in this settingRVU25C
2025-04-01$326.34Not available in this settingRVU25B
2025-01-01$326.34Not available in this settingRVU25A
2024-10-01$337.43Not available in this settingRVU24D
2024-07-01$337.43Not available in this settingRVU24C
2024-04-01$337.43Not available in this settingRVU24B
2024-03-09$337.43Not available in this settingRVU24AR
2024-01-01$331.92Not available in this settingRVU24A
2023-10-01$349.02Not available in this settingRVU23D
2023-07-01$349.02Not available in this settingRVU23C
2023-04-01$349.02Not available in this settingRVU23B
2023-01-01$349.02Not available in this settingRVU23A
2022-10-01$351.47Not available in this settingRVU22D
2022-07-01$351.47Not available in this settingRVU22C
2022-04-01$351.47Not available in this settingRVU22B
2022-01-01$351.47Not available in this settingRVU22A
2021-10-01$350.96Not available in this settingRVU21D
2021-07-01$350.96Not available in this settingRVU21C
2021-04-01$350.96Not available in this settingRVU21B
2021-01-01$350.96Not available in this settingRVU21A
2020-10-01$335.11Not available in this settingRVU20D
2020-07-01$335.11Not available in this settingRVU20C
2020-04-01$335.11Not available in this settingRVU20B
2020-01-01$335.11Not available in this settingRVU20A
2019-10-01$321.75Not available in this settingRVU19D
2019-07-01$321.75Not available in this settingRVU19C
2019-04-01$321.75Not available in this settingRVU19B
2019-01-01$321.75Not available in this settingRVU19A
2018-10-01$317.51Not available in this settingRVU18D
2018-07-01$317.51Not available in this settingRVU18C
2018-04-01$317.51Not available in this settingRVU18B
2018-01-01$317.51Not available in this settingRVU18AR1
2017-10-01$317.46Not available in this settingRVU17D
2017-07-01$317.46Not available in this settingRVU17C
2017-04-01$317.46Not available in this settingRVU17B
2017-01-01$317.46Not available in this settingRVU17A
2016-10-01$368.09Not available in this settingRVU16D
2016-07-01$368.09Not available in this settingRVU16C
2016-04-01$368.09Not available in this settingRVU16B
2016-01-01$368.09Not available in this settingRVU16A
2015-10-01$361.81Not available in this settingRVU15D
2015-07-01$361.81Not available in this settingRVU15C
2015-04-01$360.01Not available in this settingRVU15B
2015-01-01$360.01Not available in this settingRVU15A
2014-10-01$338.35Not available in this settingRVU14D
2014-07-01$338.35Not available in this settingRVU14C
2014-04-01$338.35Not available in this settingRVU14B
2014-01-01$338.35Not available in this settingRVU14A
2013-10-01$348.66Not available in this settingRVU13D
2013-07-01$348.66Not available in this settingRVU13C
2013-04-01$348.66Not available in this settingRVU13B
2013-01-01$348.66Not available in this settingRVU13AR

Price 88307 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

88307 billing questions

How is 88307 chosen over 88305 or 88309?

Choose the level assigned to the specimen type in CPT, not by slide count or time. A prostate needle biopsy is Level IV (88305); a colon segmental resection for tumor is Level VI (88309).

How many units are reported when multiple specimens are submitted?

Report one unit per distinct, separately identified specimen assigned to Level V. Two such specimens from the same case yield two units; multiple fragments of one specimen do not.

When is modifier 26 or TC used?

Use 26 when billing only the pathologist's interpretation and report. Use TC for the laboratory's technical work; bill without a modifier when one entity provides both components.

Are routine H&E stains billed separately?

No. Routine hematoxylin and eosin staining is included. Special stains, such as 88312 or 88313, and immunohistochemistry, such as 88342, may be separately reported when indicated and documented.

Can a frozen section be billed with 88307 on the same specimen?

Yes. An intraoperative frozen-section consultation (88331, with 88332 for each additional tissue block) may be reported with the final 88307 examination of that specimen.

Is decalcification included?

Decalcification is separately reported with 88311 when performed in addition to the surgical pathology examination, such as for bone or calcified tissue.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 88307PPRRVU2026_Oct_nonQPP.csv, line 11,209 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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