CPT 19301

Mastectomy Partial

CPT 19301 pays $632.61 in a non-facility setting and $632.61 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $560.76 in Arkansas to $773.68 in Alaska, a 38% spread.

National non-facility rate

$632.61

Office and other outpatient settings

Facility rate
$632.61

Hospital and ASC settings

Highest state
$773.68

Alaska

Lowest state
$560.76

Arkansas · 38% 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 $632.61
CPT 19301 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $632.61, national facility $632.61.
StateRate compared visuallyNon-facilityFacility
Alaska
$773.68$773.68
Florida
$713.65$713.65
New York
$703.94$703.94
Illinois
$703.71$703.71
District of Columbia
$698.78$698.78
New Jersey
$684.05$684.05
Connecticut
$673.80$673.80
Massachusetts
$655.64$655.64
Washington
$655.60$655.60
Michigan
$653.90$653.90
Maryland
$652.73$652.73
California
$645.52$645.52
West Virginia
$640.65$640.65
Georgia
$639.76$639.76
Pennsylvania
$636.97$636.97
Rhode Island
$636.91$636.91
Puerto Rico
$633.74$633.74
Virgin Islands
$633.74$633.74
Montana
$632.44$632.44
Colorado
$631.93$631.93
New Mexico
$631.59$631.59
New Hampshire
$630.94$630.94
Hawaii
$626.73$626.73
Texas
$625.02$625.02
Oregon
$623.45$623.45
Delaware
$623.08$623.08
Nevada
$618.66$618.66
Louisiana
$617.65$617.65
Ohio
$614.35$614.35
Arizona
$613.65$613.65
Missouri
$613.35$613.35
Utah
$610.89$610.89
Wyoming
$610.56$610.56
Virginia
$603.97$603.97
South Carolina
$603.34$603.34
Kentucky
$601.23$601.23
Maine
$591.24$591.24
Oklahoma
$590.39$590.39
Vermont
$588.53$588.53
North Carolina
$587.40$587.40
North Dakota
$582.22$582.22
Mississippi
$580.20$580.20
Minnesota
$579.20$579.20
South Dakota
$576.28$576.28
Tennessee
$573.52$573.52
Indiana
$573.11$573.11
Idaho
$570.48$570.48
Kansas
$569.63$569.63
Alabama
$568.57$568.57
Wisconsin
$564.76$564.76
Nebraska
$563.08$563.08
Iowa
$562.94$562.94
Arkansas
$560.76$560.76

Billed by 1 specialties

Commercial rates for 19301

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

See negotiated rates