# CPT 19303: Mastectomy, simple, complete

Medicare CPT 19303 pays $915.85 in a non-facility setting and $915.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $812.53 in Arkansas to $1,123.57 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/19303-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $915.85 |
| National facility | $915.85 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,123.57 | $1,123.57 |
| Florida | $1,035.43 | $1,035.43 |
| Illinois | $1,021.48 | $1,021.48 |
| New York | $1,018.96 | $1,018.96 |
| District of Columbia | $1,010.14 | $1,010.14 |
| New Jersey | $989.40 | $989.40 |
| Connecticut | $975.18 | $975.18 |
| Michigan | $948.48 | $948.48 |
| Massachusetts | $947.47 | $947.47 |
| Washington | $947.09 | $947.09 |
| Maryland | $944.75 | $944.75 |
| California | $931.38 | $931.38 |
| West Virginia | $930.28 | $930.28 |
| Georgia | $927.31 | $927.31 |
| Pennsylvania | $922.70 | $922.70 |
| Rhode Island | $921.57 | $921.57 |
| Puerto Rico | $917.30 | $917.30 |
| Virgin Islands | $917.30 | $917.30 |
| New Mexico | $915.97 | $915.97 |
| Montana | $915.60 | $915.60 |
| Colorado | $913.61 | $913.61 |
| New Hampshire | $912.58 | $912.58 |
| Texas | $904.95 | $904.95 |
| Hawaii | $904.49 | $904.49 |
| Delaware | $902.02 | $902.02 |
| Oregon | $901.28 | $901.28 |
| Louisiana | $895.47 | $895.47 |
| Nevada | $895.24 | $895.24 |
| Ohio | $890.59 | $890.59 |
| Missouri | $889.03 | $889.03 |
| Arizona | $888.46 | $888.46 |
| Utah | $884.96 | $884.96 |
| Wyoming | $883.29 | $883.29 |
| South Carolina | $874.12 | $874.12 |
| Virginia | $873.90 | $873.90 |
| Kentucky | $871.69 | $871.69 |
| Maine | $855.64 | $855.64 |
| Oklahoma | $855.61 | $855.61 |
| Vermont | $850.96 | $850.96 |
| North Carolina | $850.41 | $850.41 |
| North Dakota | $841.45 | $841.45 |
| Mississippi | $841.19 | $841.19 |
| Minnesota | $836.43 | $836.43 |
| South Dakota | $832.68 | $832.68 |
| Tennessee | $830.38 | $830.38 |
| Indiana | $829.43 | $829.43 |
| Idaho | $825.69 | $825.69 |
| Kansas | $824.74 | $824.74 |
| Alabama | $823.75 | $823.75 |
| Wisconsin | $816.50 | $816.50 |
| Nebraska | $814.70 | $814.70 |
| Iowa | $814.66 | $814.66 |
| Arkansas | $812.53 | $812.53 |

## 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
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19307: Mastectomy, modified radical — https://www.med-reveal.com/rates/19307-cpt-fee-schedule

Commercial negotiated rates for 19303 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