CPT 19120

Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion

CPT 19120 pays $573.16 in a non-facility setting and $407.82 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $502.86 in Arkansas to $669.36 in Alaska, a 33% spread.

National non-facility rate

$573.16

Office and other outpatient settings

Facility rate
$407.82

Hospital and ASC settings

Highest state
$669.36

Alaska

Lowest state
$502.86

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $573.16
CPT 19120 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $573.16, national facility $407.82.
StateRate compared visuallyNon-facilityFacility
Alaska
$669.36$493.27
District of Columbia
$648.14$453.37
New York
$638.09$453.64
New Jersey
$628.91$442.75
Florida
$620.11$454.23
California
$618.75$423.11
Washington
$615.49$427.01
Connecticut
$612.75$434.68
Massachusetts
$612.08$426.32
Illinois
$606.75$447.00
Hawaii
$598.25$410.27
Maryland
$593.53$421.17
Colorado
$586.11$410.20
Rhode Island
$582.55$411.76
New Hampshire
$580.72$408.60
Oregon
$579.07$404.89
Puerto Rico
$576.09$408.93
Virgin Islands
$576.09$408.93
Montana
$573.06$407.73
Michigan
$572.64$417.39
Pennsylvania
$571.43$409.48
Georgia
$567.69$409.96
Texas
$565.63$402.86
Nevada
$565.40$399.90
Delaware
$565.25$401.90
Wyoming
$560.57$395.23
Arizona
$555.89$395.68
New Mexico
$555.34$403.73
Virginia
$553.28$390.75
West Virginia
$550.54$406.87
Minnesota
$548.69$378.56
Utah
$548.30$392.88
Louisiana
$546.55$395.60
Vermont
$545.91$382.23
Missouri
$545.07$393.34
Ohio
$544.66$393.71
North Dakota
$544.39$379.06
South Dakota
$541.00$375.67
South Carolina
$540.66$387.89
Maine
$540.30$382.32
North Carolina
$533.43$379.17
Kentucky
$532.19$385.21
Oklahoma
$526.83$379.19
Wisconsin
$525.70$367.31
Indiana
$524.03$370.76
Idaho
$521.08$368.97
Tennessee
$520.52$370.23
Nebraska
$517.47$364.87
Kansas
$517.27$367.80
Iowa
$515.73$364.45
Mississippi
$514.37$372.02
Alabama
$510.64$365.97
Arkansas
$502.86$360.84

Billed by 1 specialties

Commercial rates for 19120

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates