# CPT 19307: Mastectomy, modified radical

Medicare CPT 19307 pays $1,126.61 in a non-facility setting and $1,126.61 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $998.32 in Arkansas to $1,376.92 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/19307-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,126.61 |
| National facility | $1,126.61 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,376.92 | $1,376.92 |
| Florida | $1,271.15 | $1,271.15 |
| New York | $1,253.81 | $1,253.81 |
| Illinois | $1,253.36 | $1,253.36 |
| District of Columbia | $1,244.67 | $1,244.67 |
| New Jersey | $1,218.34 | $1,218.34 |
| Connecticut | $1,200.09 | $1,200.09 |
| Massachusetts | $1,167.72 | $1,167.72 |
| Washington | $1,167.67 | $1,167.67 |
| Michigan | $1,164.51 | $1,164.51 |
| Maryland | $1,162.51 | $1,162.51 |
| California | $1,149.73 | $1,149.73 |
| West Virginia | $1,140.81 | $1,140.81 |
| Georgia | $1,139.30 | $1,139.30 |
| Pennsylvania | $1,134.34 | $1,134.34 |
| Rhode Island | $1,134.25 | $1,134.25 |
| Puerto Rico | $1,128.63 | $1,128.63 |
| Virgin Islands | $1,128.63 | $1,128.63 |
| Montana | $1,126.31 | $1,126.31 |
| Colorado | $1,125.43 | $1,125.43 |
| New Mexico | $1,124.70 | $1,124.70 |
| New Hampshire | $1,123.67 | $1,123.67 |
| Hawaii | $1,116.27 | $1,116.27 |
| Texas | $1,113.03 | $1,113.03 |
| Oregon | $1,110.30 | $1,110.30 |
| Delaware | $1,109.59 | $1,109.59 |
| Nevada | $1,101.73 | $1,101.73 |
| Louisiana | $1,099.84 | $1,099.84 |
| Ohio | $1,093.94 | $1,093.94 |
| Arizona | $1,092.75 | $1,092.75 |
| Missouri | $1,092.18 | $1,092.18 |
| Utah | $1,087.81 | $1,087.81 |
| Wyoming | $1,087.27 | $1,087.27 |
| Virginia | $1,075.51 | $1,075.51 |
| South Carolina | $1,074.32 | $1,074.32 |
| Kentucky | $1,070.52 | $1,070.52 |
| Maine | $1,052.77 | $1,052.77 |
| Oklahoma | $1,051.20 | $1,051.20 |
| Vermont | $1,047.97 | $1,047.97 |
| North Carolina | $1,045.90 | $1,045.90 |
| North Dakota | $1,036.74 | $1,036.74 |
| Mississippi | $1,032.99 | $1,032.99 |
| Minnesota | $1,031.39 | $1,031.39 |
| South Dakota | $1,026.15 | $1,026.15 |
| Tennessee | $1,021.12 | $1,021.12 |
| Indiana | $1,020.41 | $1,020.41 |
| Idaho | $1,015.72 | $1,015.72 |
| Kansas | $1,014.18 | $1,014.18 |
| Alabama | $1,012.26 | $1,012.26 |
| Wisconsin | $1,005.55 | $1,005.55 |
| Nebraska | $1,002.51 | $1,002.51 |
| Iowa | $1,002.27 | $1,002.27 |
| Arkansas | $998.32 | $998.32 |

## 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
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 19307 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