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CMS RVU26D · Effective 2026-10-01

88374 ISH analysis Medicare reimbursement rates

Reports computer-assisted quantitative or semiquantitative morphometric analysis of in situ hybridization findings in a tissue specimen. Compare 88374 office and facility rates across CMS payment localities.

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

What does Medicare pay for 88374?

The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.

Office / nonfacility

$232.73–$373.17

109 of 109 localities have a supported rate.

Lowest: Arkansas

Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

A spread of $140.44 per service.

Facility setting

No supported rate

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 88374 in your payment locality →

Where 88374 pays more and less

109 payment localities

$232.73 to $373.17

$232.73$302.95$373.17
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Surgical pathology

About 88374: Computer-assisted ISH morphometric analysis

Reports computer-assisted quantitative or semiquantitative morphometric analysis of in situ hybridization findings in a tissue specimen.

A pathology laboratory uses image-analysis technology to quantify or semiquantify in situ hybridization signals in a tissue specimen. The analysis supports interpretation of molecular markers visible in cells or tissue, such as gene-copy patterns assessed in a tumor biopsy. A pathologist reviews the findings and incorporates them into the diagnostic workup; the technical work is generally performed by laboratory staff using specialized imaging equipment.

Select this service when the requested work is morphometric analysis of an in situ hybridization assay using computer-assisted technology, rather than manual measurement or tumor immunohistochemistry analysis. The record should identify the specimen, the assay and target, the quantitative or semiquantitative analysis performed, and the resulting interpretation. CMS recognizes separately priced professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the equipment-and-staff portion, and reporting without either modifier represents the global service.

CMS billing rules for 88374

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.91 · 11%
  • Practice expense (office) RVU7.04 · 88%
  • Malpractice RVU0.02 · 0%

181K

Medicare services in 2024 · #403 by national volume

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.

88374 compared with similar codes

Office rate ranges across all CMS payment localities, from the same CMS release.

88373

ISH analysis

Computer-assisted morphometry

$57.08–$84.89

88373 represents manual ISH morphometric analysis. This code is for the computer-assisted method.

88360

Tumor IHC scoring

Manual quantitative, per antibody

$106.97–$163.58

88360 concerns morphometric analysis of tumor immunohistochemistry using a manual method. This code concerns ISH findings analyzed with computer assistance.

88361

Tumor immunohistochemistry

Computer-assisted analysis

$102.56–$154.28

88361 is computer-assisted morphometric analysis of tumor immunohistochemistry; this code is for computer-assisted morphometric analysis of ISH.

See how rates vary across the country

88374 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$232.73

$331.08

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$296.391
AL$236.521
AR$232.731
AZ$258.821
CA$288.99–$373.1729
CO$281.471
CT$285.061
DC$309.781
DE$263.471
FL$256.19–$276.873
GA$240.94–$270.192
GU$298.141
HI$298.141
IA$245.821
ID$247.041
IL$246.12–$273.284
IN$248.701
KS$243.301
KY$240.051
LA$239.14–$252.422
MA$279.02–$313.002
MD$269.28–$309.783
ME$247.14–$263.842
MI$245.83–$258.432
MN$272.551
MO$233.74–$254.923
MS$233.351
MT$266.201
NC$250.211
ND$265.811
NE$247.681
NH$275.761
NJ$289.12–$305.792
NM$246.821
NV$266.331
NY$254.25–$313.165
OH$245.751
OK$240.901
OR$265.07–$292.622
PA$246.89–$276.522
PR$268.781
RI$274.471
SC$248.231
SD$265.761
TN$244.501
TX$244.99–$279.838
UT$252.031
VA$262.01–$309.782
VI$268.781
VT$263.521
WA$278.90–$320.982
WI$255.871
WV$235.691
WY$266.031

Compare 88374 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

109 of 109 payment localities

88374 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama

Office

$236.52

Facility

Unavailable
Alaska*

Office

$296.39

Facility

Unavailable
Arizona

Office

$258.82

Facility

Unavailable
Arkansas

Office

$232.73

Facility

Unavailable
Atlanta

Office

$270.19

Facility

Unavailable
Austin

Office

$279.83

Facility

Unavailable
Bakersfield

Office

$289.10

Facility

Unavailable
Baltimore/Surr. Cntys

Office

$284.02

Facility

Unavailable
Beaumont

Office

$244.99

Facility

Unavailable
Brazoria

Office

$264.19

Facility

Unavailable
Chicago

Office

$268.46

Facility

Unavailable
Chico

Office

$288.99

Facility

Unavailable
Colorado

Office

$281.47

Facility

Unavailable
Connecticut

Office

$285.06

Facility

Unavailable
Dallas

Office

$265.44

Facility

Unavailable
Dc + Md/Va Suburbs

Office

$309.78

Facility

Unavailable
Delaware

Office

$263.47

Facility

Unavailable
Detroit

Office

$258.43

Facility

Unavailable
East St. Louis

Office

$248.07

Facility

Unavailable
El Centro

Office

$288.99

Facility

Unavailable
Fort Lauderdale

Office

$269.80

Facility

Unavailable
Fort Worth

Office

$263.10

Facility

Unavailable
Fresno

Office

$288.99

Facility

Unavailable
Galveston

Office

$264.69

Facility

Unavailable
Hanford-Corcoran

Office

$288.99

Facility

Unavailable
Hawaii, Guam

Office

$298.14

Facility

Unavailable
Houston

Office

$265.05

Facility

Unavailable
Idaho

Office

$247.04

Facility

Unavailable
Indiana

Office

$248.70

Facility

Unavailable
Iowa

Office

$245.82

Facility

Unavailable
Kansas

Office

$243.30

Facility

Unavailable
Kentucky

Office

$240.05

Facility

Unavailable
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

Office

$310.26

Facility

Unavailable
Madera

Office

$288.99

Facility

Unavailable
Manhattan

Office

$306.63

Facility

Unavailable
Merced

Office

$288.99

Facility

Unavailable
Metropolitan Boston

Office

$313.00

Facility

Unavailable
Metropolitan Kansas City

Office

$251.85

Facility

Unavailable
Metropolitan Philadelphia

Office

$276.52

Facility

Unavailable
Metropolitan St. Louis

Office

$254.92

Facility

Unavailable
Miami

Office

$276.87

Facility

Unavailable
Minnesota

Office

$272.55

Facility

Unavailable
Mississippi

Office

$233.35

Facility

Unavailable
Modesto

Office

$288.99

Facility

Unavailable
Montana**

Office

$266.20

Facility

Unavailable
Napa

Office

$342.57

Facility

Unavailable
Nebraska

Office

$247.68

Facility

Unavailable
Nevada**

Office

$266.33

Facility

Unavailable
New Hampshire

Office

$275.76

Facility

Unavailable
New Mexico

Office

$246.82

Facility

Unavailable
New Orleans

Office

$252.42

Facility

Unavailable
North Carolina

Office

$250.21

Facility

Unavailable
North Dakota**

Office

$265.81

Facility

Unavailable
Northern Nj

Office

$305.79

Facility

Unavailable
Nyc Suburbs/Long Island

Office

$313.16

Facility

Unavailable
Ohio

Office

$245.75

Facility

Unavailable
Oklahoma

Office

$240.90

Facility

Unavailable
Oxnard-Thousand Oaks-Ventura

Office

$309.60

Facility

Unavailable
Portland

Office

$292.62

Facility

Unavailable
Poughkpsie/N Nyc Suburbs

Office

$290.05

Facility

Unavailable
Puerto Rico

Office

$268.78

Facility

Unavailable
Queens

Office

$311.24

Facility

Unavailable
Redding

Office

$288.99

Facility

Unavailable
Rest Of California

Office

$288.99

Facility

Unavailable
Rest Of Florida

Office

$256.19

Facility

Unavailable
Rest Of Georgia

Office

$240.94

Facility

Unavailable
Rest Of Illinois

Office

$246.12

Facility

Unavailable
Rest Of Louisiana

Office

$239.14

Facility

Unavailable
Rest Of Maine

Office

$247.14

Facility

Unavailable
Rest Of Maryland

Office

$269.28

Facility

Unavailable
Rest Of Massachusetts

Office

$279.02

Facility

Unavailable
Rest Of Michigan

Office

$245.83

Facility

Unavailable
Rest Of Missouri

Office

$233.74

Facility

Unavailable
Rest Of New Jersey

Office

$289.12

Facility

Unavailable
Rest Of New York

Office

$254.25

Facility

Unavailable
Rest Of Oregon

Office

$265.07

Facility

Unavailable
Rest Of Pennsylvania

Office

$246.89

Facility

Unavailable
Rest Of Texas

Office

$254.15

Facility

Unavailable
Rest Of Washington

Office

$278.90

Facility

Unavailable
Rhode Island

Office

$274.47

Facility

Unavailable
Riverside-San Bernardino-Ontario

Office

$289.23

Facility

Unavailable
Sacramento-Roseville-Folsom

Office

$305.32

Facility

Unavailable
Salinas

Office

$304.23

Facility

Unavailable
San Diego-Chula Vista-Carlsbad

Office

$312.90

Facility

Unavailable
San Francisco-Oakland-Berkeley (Marin Cnty)

Office

$365.14

Facility

Unavailable
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

Office

$365.12

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

Office

$373.17

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

Office

$373.08

Facility

Unavailable
San Luis Obispo-Paso Robles

Office

$299.10

Facility

Unavailable
Santa Cruz-Watsonville

Office

$317.09

Facility

Unavailable
Santa Maria-Santa Barbara

Office

$305.78

Facility

Unavailable
Santa Rosa-Petaluma

Office

$320.42

Facility

Unavailable
Seattle (King Cnty)

Office

$320.98

Facility

Unavailable
South Carolina

Office

$248.23

Facility

Unavailable
South Dakota**

Office

$265.76

Facility

Unavailable
Southern Maine

Office

$263.84

Facility

Unavailable
Stockton

Office

$288.99

Facility

Unavailable
Suburban Chicago

Office

$273.28

Facility

Unavailable
Tennessee

Office

$244.50

Facility

Unavailable
Utah

Office

$252.03

Facility

Unavailable
Vallejo

Office

$342.53

Facility

Unavailable
Vermont

Office

$263.52

Facility

Unavailable
Virgin Islands

Office

$268.78

Facility

Unavailable
Virginia

Office

$262.01

Facility

Unavailable
Visalia

Office

$288.99

Facility

Unavailable
West Virginia

Office

$235.69

Facility

Unavailable
Wisconsin

Office

$255.87

Facility

Unavailable
Wyoming**

Office

$266.03

Facility

Unavailable
Yuba City

Office

$288.99

Facility

Unavailable

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88374 billing questions

How does this differ from manual ISH morphometric analysis?

This code is for quantitative or semiquantitative ISH morphometric analysis performed with computer-assisted technology. Use the manual counterpart when the morphometric analysis is performed manually.

Is this the same as tumor immunohistochemistry analysis?

No. This service analyzes in situ hybridization findings; tumor immunohistochemistry analysis evaluates immunostaining and is reported with the applicable IHC morphometric-analysis code.

Which modifiers identify the components?

Modifier 26 reports the professional interpretation, and modifier TC reports the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting this service?

Document the specimen and ISH assay, the use of computer-assisted quantitative or semiquantitative morphometric analysis, and the pathologist's interpretation of the findings.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 88374PPRRVU2026_Oct_nonQPP.csv, line 11,310 (RVU26D)