# CPT 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion

Medicare CPT 19081 pays $478.30 in a non-facility setting and $138.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $421.96 in Arkansas to $550.02 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/19081-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $478.30 |
| National facility | $138.28 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $550.02 | $187.90 |
| District of Columbia | $549.38 | $148.84 |
| California | $542.66 | $140.32 |
| New Jersey | $530.07 | $147.20 |
| Washington | $529.53 | $141.91 |
| New York | $529.13 | $149.80 |
| Massachusetts | $523.91 | $141.90 |
| Hawaii | $522.62 | $136.01 |
| Connecticut | $510.57 | $144.37 |
| Colorado | $500.03 | $138.25 |
| Maryland | $495.88 | $141.41 |
| Oregon | $495.16 | $136.94 |
| New Hampshire | $491.57 | $137.61 |
| Rhode Island | $490.94 | $139.69 |
| Florida | $490.57 | $149.41 |
| Puerto Rico | $482.08 | $138.32 |
| Virgin Islands | $482.08 | $138.32 |
| Minnesota | $480.49 | $130.61 |
| Montana | $478.28 | $138.26 |
| Illinois | $477.20 | $148.65 |
| Nevada | $476.71 | $136.35 |
| Wyoming | $475.26 | $135.24 |
| Delaware | $473.34 | $137.40 |
| Pennsylvania | $472.71 | $139.66 |
| Texas | $472.49 | $137.74 |
| North Dakota | $471.36 | $131.34 |
| South Dakota | $470.54 | $130.52 |
| Vermont | $468.93 | $132.31 |
| Virginia | $468.75 | $134.51 |
| Arizona | $465.48 | $136.00 |
| Georgia | $464.23 | $139.85 |
| Michigan | $461.14 | $141.86 |
| Maine | $457.94 | $133.05 |
| Utah | $455.54 | $135.92 |
| Wisconsin | $455.12 | $129.38 |
| New Mexico | $450.82 | $139.02 |
| North Carolina | $450.00 | $132.76 |
| South Carolina | $449.23 | $135.05 |
| Missouri | $448.53 | $136.50 |
| Louisiana | $447.59 | $137.14 |
| Ohio | $447.13 | $136.69 |
| Indiana | $446.06 | $130.86 |
| Idaho | $443.39 | $130.57 |
| Nebraska | $443.36 | $129.52 |
| Iowa | $440.70 | $129.58 |
| Tennessee | $440.18 | $131.10 |
| Kansas | $438.00 | $130.62 |
| Kentucky | $437.41 | $135.14 |
| Oklahoma | $437.24 | $133.60 |
| West Virginia | $436.26 | $140.78 |
| Alabama | $428.30 | $130.78 |
| Mississippi | $425.29 | $132.54 |
| Arkansas | $421.96 | $129.88 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-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 19081 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