# CPT 19020: Mastotomy with exploration or drainage of abscess

Medicare CPT 19020 pays $514.37 in a non-facility setting and $316.31 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $448.84 in Arkansas to $588.49 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/19020-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $514.37 |
| National facility | $316.31 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $588.49 | $355.16 |
| Alaska | $586.21 | $375.27 |
| New York | $572.83 | $351.87 |
| California | $570.58 | $336.21 |
| New Jersey | $568.57 | $345.54 |
| Washington | $562.09 | $336.29 |
| Massachusetts | $557.46 | $334.93 |
| Connecticut | $550.97 | $337.65 |
| Hawaii | $550.63 | $325.43 |
| Florida | $544.66 | $345.93 |
| Maryland | $533.64 | $327.15 |
| Colorado | $532.12 | $321.38 |
| Illinois | $530.69 | $339.30 |
| Oregon | $526.09 | $317.42 |
| Rhode Island | $525.27 | $320.67 |
| New Hampshire | $525.25 | $319.07 |
| Puerto Rico | $517.86 | $317.62 |
| Virgin Islands | $517.86 | $317.62 |
| Montana | $514.31 | $316.25 |
| Pennsylvania | $510.26 | $316.25 |
| Nevada | $509.60 | $311.34 |
| Delaware | $507.58 | $311.89 |
| Texas | $507.31 | $312.31 |
| Wyoming | $506.38 | $308.32 |
| Michigan | $505.00 | $319.01 |
| Georgia | $504.09 | $315.13 |
| Minnesota | $503.15 | $299.34 |
| Virginia | $499.24 | $304.54 |
| Arizona | $498.82 | $306.89 |
| North Dakota | $496.12 | $298.05 |
| Vermont | $495.60 | $299.52 |
| South Dakota | $493.97 | $295.90 |
| New Mexico | $490.75 | $309.12 |
| Utah | $489.70 | $303.51 |
| Maine | $486.92 | $297.66 |
| Louisiana | $484.58 | $303.75 |
| Missouri | $484.33 | $302.57 |
| Ohio | $483.38 | $302.55 |
| South Carolina | $482.48 | $299.46 |
| West Virginia | $480.58 | $308.46 |
| North Carolina | $479.22 | $294.43 |
| Wisconsin | $478.03 | $288.28 |
| Indiana | $472.37 | $288.76 |
| Kentucky | $471.91 | $295.82 |
| Idaho | $469.45 | $287.23 |
| Oklahoma | $469.10 | $292.23 |
| Nebraska | $467.61 | $284.80 |
| Tennessee | $467.47 | $287.43 |
| Iowa | $465.32 | $284.09 |
| Kansas | $464.66 | $285.61 |
| Mississippi | $456.44 | $285.91 |
| Alabama | $456.16 | $282.85 |
| Arkansas | $448.84 | $278.70 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-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 19020 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