# CPT 19318: Reduction mammaplasty

Medicare CPT 19318 pays $980.32 in a non-facility setting and $980.32 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $881.69 in Arkansas to $1,220.31 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/19318-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Plastic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $980.32 |
| National facility | $980.32 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,220.31 | $1,220.31 |
| District of Columbia | $1,083.65 | $1,083.65 |
| New York | $1,082.16 | $1,082.16 |
| Florida | $1,075.11 | $1,075.11 |
| New Jersey | $1,060.64 | $1,060.64 |
| Illinois | $1,060.08 | $1,060.08 |
| Connecticut | $1,039.19 | $1,039.19 |
| Washington | $1,026.22 | $1,026.22 |
| Massachusetts | $1,024.11 | $1,024.11 |
| California | $1,019.64 | $1,019.64 |
| Maryland | $1,010.04 | $1,010.04 |
| Michigan | $998.68 | $998.68 |
| Rhode Island | $991.42 | $991.42 |
| Colorado | $987.93 | $987.93 |
| Hawaii | $987.93 | $987.93 |
| Pennsylvania | $984.47 | $984.47 |
| Georgia | $984.00 | $984.00 |
| Puerto Rico | $982.79 | $982.79 |
| Virgin Islands | $982.79 | $982.79 |
| New Hampshire | $982.69 | $982.69 |
| Montana | $980.12 | $980.12 |
| Oregon | $976.39 | $976.39 |
| West Virginia | $975.85 | $975.85 |
| Texas | $970.59 | $970.59 |
| New Mexico | $970.36 | $970.36 |
| Delaware | $968.63 | $968.63 |
| Nevada | $964.17 | $964.17 |
| Arizona | $954.94 | $954.94 |
| Wyoming | $954.61 | $954.61 |
| Louisiana | $953.70 | $953.70 |
| Ohio | $949.84 | $949.84 |
| Missouri | $949.18 | $949.18 |
| Utah | $948.67 | $948.67 |
| Virginia | $945.14 | $945.14 |
| South Carolina | $938.17 | $938.17 |
| Kentucky | $932.02 | $932.02 |
| Vermont | $927.88 | $927.88 |
| Maine | $927.40 | $927.40 |
| North Dakota | $921.59 | $921.59 |
| Minnesota | $921.14 | $921.14 |
| North Carolina | $920.55 | $920.55 |
| Oklahoma | $919.81 | $919.81 |
| South Dakota | $914.67 | $914.67 |
| Mississippi | $904.56 | $904.56 |
| Indiana | $903.26 | $903.26 |
| Tennessee | $901.84 | $901.84 |
| Idaho | $899.46 | $899.46 |
| Wisconsin | $896.81 | $896.81 |
| Kansas | $896.78 | $896.78 |
| Alabama | $892.48 | $892.48 |
| Nebraska | $891.15 | $891.15 |
| Iowa | $890.15 | $890.15 |
| Arkansas | $881.69 | $881.69 |

## 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 19318 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