# CPT 19100: Biopsy of breast, percutaneous, needle core

Medicare CPT 19100 pays $163.33 in a non-facility setting and $61.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $142.69 in Arkansas to $186.81 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/19100-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $163.33 |
| National facility | $61.79 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $186.81 | $78.67 |
| District of Columbia | $186.62 | $67.00 |
| New York | $181.83 | $68.56 |
| California | $180.74 | $60.59 |
| New Jersey | $180.39 | $66.06 |
| Washington | $178.19 | $62.43 |
| Massachusetts | $176.76 | $62.69 |
| Connecticut | $174.88 | $65.52 |
| Hawaii | $174.44 | $58.99 |
| Florida | $173.19 | $71.31 |
| Maryland | $169.41 | $63.55 |
| Illinois | $168.83 | $70.72 |
| Colorado | $168.79 | $60.76 |
| Oregon | $166.88 | $59.91 |
| Rhode Island | $166.73 | $61.84 |
| New Hampshire | $166.67 | $60.96 |
| Puerto Rico | $164.41 | $61.76 |
| Virgin Islands | $164.41 | $61.76 |
| Montana | $163.31 | $61.77 |
| Pennsylvania | $162.10 | $62.65 |
| Nevada | $161.77 | $60.13 |
| Delaware | $161.18 | $60.86 |
| Texas | $161.11 | $61.15 |
| Wyoming | $160.73 | $59.19 |
| Michigan | $160.59 | $65.24 |
| Georgia | $160.21 | $63.35 |
| Minnesota | $159.52 | $55.04 |
| Virginia | $158.48 | $58.67 |
| Arizona | $158.42 | $60.03 |
| North Dakota | $157.38 | $55.84 |
| Vermont | $157.26 | $56.74 |
| South Dakota | $156.68 | $55.14 |
| New Mexico | $156.06 | $62.95 |
| Utah | $155.59 | $60.15 |
| Maine | $154.61 | $57.59 |
| Louisiana | $154.07 | $61.36 |
| Missouri | $153.96 | $60.78 |
| Ohio | $153.68 | $60.97 |
| South Carolina | $153.32 | $59.50 |
| West Virginia | $152.99 | $64.75 |
| North Carolina | $152.22 | $57.48 |
| Wisconsin | $151.70 | $54.42 |
| Kentucky | $150.06 | $59.79 |
| Indiana | $150.01 | $55.89 |
| Oklahoma | $149.12 | $58.45 |
| Idaho | $149.10 | $55.68 |
| Tennessee | $148.51 | $56.21 |
| Nebraska | $148.48 | $54.76 |
| Iowa | $147.78 | $54.87 |
| Kansas | $147.62 | $55.83 |
| Mississippi | $145.16 | $57.74 |
| Alabama | $144.99 | $56.15 |
| Arkansas | $142.69 | $55.47 |

## 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
- 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
- 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 19100 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