CPT 19126

Exc Brst Les Preop Plmt Rad Marker Opn Ea Addl

CPT 19126 pays $143.96 in a non-facility setting and $143.96 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $126.08 in Wisconsin to $182.34 in Alaska, a 45% spread.

National non-facility rate

$143.96

Office and other outpatient settings

Facility rate
$143.96

Hospital and ASC settings

Highest state
$182.34

Alaska

Lowest state
$126.08

Wisconsin · 45% 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 $143.96
CPT 19126 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $143.96, national facility $143.96.
StateRate compared visuallyNon-facilityFacility
Alaska
$182.34$182.34
Florida
$167.12$167.12
Illinois
$165.69$165.69
New York
$160.03$160.03
District of Columbia
$156.15$156.15
New Jersey
$153.92$153.92
Connecticut
$152.84$152.84
Michigan
$152.43$152.43
West Virginia
$151.32$151.32
Maryland
$148.11$148.11
Georgia
$147.79$147.79
New Mexico
$146.86$146.86
Pennsylvania
$146.01$146.01
Massachusetts
$145.83$145.83
Washington
$145.19$145.19
Rhode Island
$143.93$143.93
Montana
$143.91$143.91
Puerto Rico
$143.86$143.86
Virgin Islands
$143.86$143.86
Louisiana
$143.01$143.01
Texas
$142.38$142.38
Ohio
$142.06$142.06
New Hampshire
$141.90$141.90
Delaware
$141.68$141.68
Missouri
$141.60$141.60
Colorado
$141.30$141.30
California
$140.63$140.63
Utah
$140.03$140.03
Nevada
$139.91$139.91
Arizona
$139.70$139.70
Oregon
$139.27$139.27
Kentucky
$139.22$139.22
South Carolina
$138.47$138.47
Wyoming
$137.62$137.62
Hawaii
$136.99$136.99
Virginia
$136.38$136.38
Oklahoma
$135.95$135.95
Mississippi
$134.25$134.25
Maine
$133.78$133.78
North Carolina
$133.54$133.54
Vermont
$131.67$131.67
Tennessee
$130.48$130.48
Alabama
$130.37$130.37
Indiana
$129.67$129.67
Kansas
$129.56$129.56
North Dakota
$129.47$129.47
Idaho
$129.18$129.18
Arkansas
$128.74$128.74
South Dakota
$127.77$127.77
Minnesota
$127.49$127.49
Iowa
$127.21$127.21
Nebraska
$126.94$126.94
Wisconsin
$126.08$126.08

Billed by 1 specialties

Commercial rates for 19126

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

See negotiated rates