# CPT 19301: Mastectomy, partial (lumpectomy)

Medicare 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.

Web page: https://www.med-reveal.com/rates/19301-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $632.61 |
| National facility | $632.61 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $652.74 | $652.74 |
| California | $645.52 | $645.52 |
| West Virginia | $640.65 | $640.65 |
| Georgia | $639.76 | $639.76 |
| Pennsylvania | $636.98 | $636.98 |
| 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 | $623.44 | $623.44 |
| Delaware | $623.08 | $623.08 |
| Nevada | $618.66 | $618.66 |
| Louisiana | $617.66 | $617.66 |
| 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 |

## 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
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-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 19301 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