CPT 19316

Mastopexy

CPT 19316 pays $729.14 in a non-facility setting and $729.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $652.77 in Arkansas to $897.03 in Alaska, a 37% spread.

National non-facility rate

$729.14

Office and other outpatient settings

Facility rate
$729.14

Hospital and ASC settings

Highest state
$897.03

Alaska

Lowest state
$652.77

Arkansas · 37% 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 $729.14
CPT 19316 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $729.14, national facility $729.14.
StateRate compared visuallyNon-facilityFacility
Alaska
$897.03$897.03
District of Columbia
$809.53$809.53
New York
$806.16$806.16
Florida
$797.48$797.48
New Jersey
$791.02$791.02
Illinois
$785.20$785.20
Connecticut
$774.17$774.17
Washington
$767.07$767.07
Massachusetts
$764.97$764.97
California
$763.94$763.94
Maryland
$751.97$751.97
Michigan
$740.02$740.02
Hawaii
$739.87$739.87
Rhode Island
$738.12$738.12
Colorado
$736.90$736.90
New Hampshire
$732.42$732.42
Puerto Rico
$731.34$731.34
Virgin Islands
$731.34$731.34
Pennsylvania
$731.21$731.21
Georgia
$730.00$730.00
Montana
$729.00$729.00
Oregon
$728.24$728.24
Texas
$721.46$721.46
West Virginia
$720.91$720.91
Delaware
$720.20$720.20
New Mexico
$718.80$718.80
Nevada
$717.56$717.56
Wyoming
$710.64$710.64
Arizona
$709.69$709.69
Louisiana
$706.65$706.65
Utah
$704.07$704.07
Ohio
$703.88$703.88
Missouri
$703.58$703.58
Virginia
$703.18$703.18
South Carolina
$695.90$695.90
Vermont
$691.03$691.03
Kentucky
$690.13$690.13
Maine
$689.36$689.36
Minnesota
$687.67$687.67
North Dakota
$686.88$686.88
North Carolina
$683.56$683.56
South Dakota
$681.90$681.90
Oklahoma
$681.50$681.50
Indiana
$670.90$670.90
Mississippi
$669.30$669.30
Tennessee
$669.18$669.18
Idaho
$667.89$667.89
Wisconsin
$667.44$667.44
Kansas
$665.35$665.35
Nebraska
$662.03$662.03
Alabama
$661.15$661.15
Iowa
$661.00$661.00
Arkansas
$652.77$652.77

Billed by 1 specialties

Commercial rates for 19316

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

See negotiated rates