# CPT 19120: Excision of cyst/fibroadenoma/lesion of breast

Medicare 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.

Web page: https://www.med-reveal.com/rates/19120-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $573.16 |
| National facility | $407.82 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $669.36 | $493.27 |
| District of Columbia | $648.14 | $453.37 |
| New York | $638.09 | $453.64 |
| New Jersey | $628.92 | $442.75 |
| Florida | $620.11 | $454.23 |
| California | $618.75 | $423.11 |
| Washington | $615.50 | $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 | $579.08 | $404.89 |
| Puerto Rico | $576.09 | $408.93 |
| Virgin Islands | $576.09 | $408.93 |
| Montana | $573.06 | $407.73 |
| Michigan | $572.64 | $417.40 |
| 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 | $545.06 | $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 | $540.29 | $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 |

## 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
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-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 19120 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