How much does Medicare pay for CPT 88177?

Medicare allowed an average of $21.33 per service and paid $18.16 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $98.94, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 88177?

Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode. It was billed 40,292 times to 17,155 Medicare beneficiaries by 691 providers in 2024.

Does 88177 pay differently in an office than a hospital?

Yes. The allowed amount averaged $25.33 in an office setting and $20.90 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 88177 most?

Pathology, with 38,523 services from 670 clinicians. Next are Clinical Laboratory, Diagnostic Radiology, Emergency Medicine.

CPT 88177

Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode

$21.33Medicare-allowed amount per service, averaged across 40,292 services

Providers submitted

$98.94

Asking price, not received

Medicare allowed

$21.33

The fee schedule figure

Medicare paid

$18.16

Balance is patient coinsurance

Providers submitted an average of $98.94 for this code and Medicare allowed $21.33 — 4.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $18.16 (85%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $25.33
Hospital / facility: $20.90

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 3,930 services were billed in an office setting and 36,362 in a facility.

Services: 40,292
Beneficiaries: 17,155
Providers billing it: 691
Total allowed: $859,428

What Medicare pays for CPT 88177

Across 40,292 services billed by 691 providers to 17,155 beneficiaries, Medicare allowed an average of $21.33 per service. That is 2.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 88177

Specialty	Services	Beneficiaries	Avg allowed	Providers
Pathology	38,523	16,347	$21.35	670
Clinical Laboratory	1,509	698	$20.66	16
Diagnostic Radiology	174	57	$21.10	2
Emergency Medicine	44	20	$21.55	1
Endocrinology	42	33	$28.00	2

88177 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	4,460	$23.70	$17.10	64
Illinois	3,818	$21.20	$20.35	75
Ohio	3,636	$20.58	$16.92	52
New York	3,576	$22.51	$19.47	50
Pennsylvania	2,970	$20.94	$16.47	49
North Carolina	1,835	$20.43	$16.73	31
Iowa	1,518	$20.02	$16.91	13
Texas	1,450	$21.27	$16.99	32
South Carolina	1,309	$19.97	$16.44	20
New Jersey	1,286	$22.59	$16.41	19
Georgia	1,214	$21.07	$17.04	21
Indiana	1,063	$19.86	$20.22	17
Massachusetts	1,040	$20.88	$19.55	20
Florida	1,003	$20.62	$16.33	22
Kentucky	842	$14.25	$12.83	11
Maryland	774	$21.28	$16.55	18
Washington	759	$20.45	$16.70	15
Virginia	743	$25.03	$18.93	12
Michigan	674	$20.32	$17.00	10
Arizona	655	$22.14	$17.92	15
Tennessee	610	$21.72	$18.34	15
Wisconsin	557	$19.95	$19.90	11
Connecticut	495	$20.34	$19.53	6
Delaware	429	$28.56	$22.92	3
Vermont	411	$20.17	$20.47	11
Hawaii	392	$22.01	$16.28	9
Missouri	313	$20.64	$16.36	9
Colorado	295	$21.05	$16.25	9
Oregon	267	$20.42	$16.38	8
Minnesota	224	$20.51	$20.42	4
Mississippi	184	$20.95	$16.34	3
New Mexico	168	$20.46	$16.40	4
Louisiana	136	$20.14	$16.29	4
Wyoming	127	$20.49	$16.01	1
Rhode Island	115	$21.44	$18.18	3
Maine	114	$20.55	$20.42	3
North Dakota	109	$20.48	$16.44	1
Kansas	106	$19.84	$16.12	3
Arkansas	88	$20.42	$16.40	2
Alabama	81	$19.68	$16.41	3
Nevada	81	$20.54	$16.21	2
District of Columbia	73	$27.06	$19.55	3
Puerto Rico	69	$24.90	$19.94	2
Oklahoma	66	$20.51	$16.38	1
Utah	55	$21.64	$16.34	2
New Hampshire	46	$20.85	$20.14	1
West Virginia	37	$19.81	$16.42	1
Alaska	19	$26.11	$16.80	1

Related codes

88185Flow cytometry technique for dna or cell analysis$24.39
88112Cell examination of specimen$38.46
88173Evaluation of fine needle aspirate$83.18
88189Flow cytometry technique for dna or cell analysis$82.33
88108Cell examination of specimen$28.49
88175Pap test, automated thin layer preparation; automated system and manua$25.99
88172Evaluation of fine needle aspirate$36.27
88184Flow cytometry technique for dna or cell analysis$81.32
88120Cell examination of urine$465.04
88188Flow cytometry technique for dna or cell analysis$60.36
88141Pap test$24.26
88121Cell examination of urine$380.49

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.