# CPT 19000: Puncture aspiration of cyst of breast

Medicare CPT 19000 pays $96.19 in a non-facility setting and $36.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $85.23 in Arkansas to $112.47 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/19000-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $96.19 |
| National facility | $36.41 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $112.47 | $48.80 |
| District of Columbia | $109.68 | $39.25 |
| California | $107.43 | $36.69 |
| New York | $106.35 | $39.65 |
| New Jersey | $106.12 | $38.80 |
| Washington | $105.40 | $37.25 |
| Massachusetts | $104.45 | $37.27 |
| Hawaii | $103.57 | $35.59 |
| Connecticut | $102.53 | $38.14 |
| Colorado | $99.89 | $36.27 |
| Florida | $99.89 | $39.90 |
| Maryland | $99.61 | $37.28 |
| Oregon | $98.88 | $35.89 |
| Rhode Island | $98.47 | $36.71 |
| New Hampshire | $98.41 | $36.17 |
| Illinois | $97.44 | $39.67 |
| Puerto Rico | $96.86 | $36.41 |
| Virgin Islands | $96.86 | $36.41 |
| Montana | $96.19 | $36.40 |
| Nevada | $95.65 | $35.80 |
| Minnesota | $95.50 | $33.98 |
| Pennsylvania | $95.36 | $36.80 |
| Wyoming | $95.24 | $35.45 |
| Delaware | $95.18 | $36.11 |
| Texas | $95.08 | $36.21 |
| North Dakota | $94.01 | $34.22 |
| Virginia | $94.01 | $35.24 |
| Georgia | $93.97 | $36.92 |
| South Dakota | $93.75 | $33.97 |
| Vermont | $93.73 | $34.54 |
| Michigan | $93.72 | $37.58 |
| Arizona | $93.65 | $35.71 |
| Maine | $91.93 | $34.80 |
| Utah | $91.91 | $35.71 |
| New Mexico | $91.53 | $36.70 |
| Wisconsin | $90.92 | $33.64 |
| Missouri | $90.78 | $35.91 |
| Louisiana | $90.70 | $36.12 |
| South Carolina | $90.69 | $35.45 |
| Ohio | $90.56 | $35.97 |
| North Carolina | $90.50 | $34.72 |
| Indiana | $89.55 | $34.13 |
| West Virginia | $89.25 | $37.29 |
| Idaho | $89.05 | $34.04 |
| Nebraska | $88.89 | $33.71 |
| Kentucky | $88.65 | $35.50 |
| Tennessee | $88.57 | $34.22 |
| Iowa | $88.44 | $33.74 |
| Oklahoma | $88.41 | $35.02 |
| Kansas | $88.12 | $34.07 |
| Alabama | $86.46 | $34.14 |
| Mississippi | $86.18 | $34.71 |
| Arkansas | $85.23 | $33.87 |

## Related codes

- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule
- 19307: Mastectomy, modified radical — https://www.med-reveal.com/rates/19307-cpt-fee-schedule

Commercial negotiated rates for 19000 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