CPT 19325

Breast Augmentation With Implant

CPT 19325 pays $566.15 in a non-facility setting and $566.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $506.61 in Arkansas to $692.61 in Alaska, a 37% spread.

National non-facility rate

$566.15

Office and other outpatient settings

Facility rate
$566.15

Hospital and ASC settings

Highest state
$692.61

Alaska

Lowest state
$506.61

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 $566.15
CPT 19325 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $566.15, national facility $566.15.
StateRate compared visuallyNon-facilityFacility
Alaska
$692.61$692.61
District of Columbia
$630.90$630.90
New York
$625.61$625.61
New Jersey
$615.62$615.62
Florida
$613.78$613.78
Illinois
$603.59$603.59
Connecticut
$601.23$601.23
Washington
$599.35$599.35
California
$599.22$599.22
Massachusetts
$597.09$597.09
Maryland
$584.13$584.13
Hawaii
$579.88$579.88
Colorado
$574.63$574.63
Rhode Island
$574.15$574.15
Michigan
$570.91$570.91
New Hampshire
$570.31$570.31
Puerto Rico
$568.18$568.18
Virgin Islands
$568.18$568.18
Oregon
$568.08$568.08
Pennsylvania
$566.77$566.77
Montana
$566.05$566.05
Georgia
$564.66$564.66
Texas
$560.18$560.18
Delaware
$559.45$559.45
Nevada
$558.14$558.14
New Mexico
$555.15$555.15
West Virginia
$554.42$554.42
Wyoming
$553.29$553.29
Arizona
$551.21$551.21
Virginia
$547.32$547.32
Louisiana
$546.53$546.53
Utah
$545.97$545.97
Missouri
$544.61$544.61
Ohio
$544.60$544.60
South Carolina
$539.56$539.56
Vermont
$539.20$539.20
Minnesota
$538.66$538.66
North Dakota
$536.78$536.78
Maine
$536.46$536.46
Kentucky
$533.95$533.95
South Dakota
$533.32$533.32
North Carolina
$531.40$531.40
Oklahoma
$528.14$528.14
Indiana
$522.33$522.33
Wisconsin
$521.35$521.35
Tennessee
$520.31$520.31
Idaho
$519.92$519.92
Mississippi
$518.19$518.19
Kansas
$517.42$517.42
Nebraska
$515.98$515.98
Iowa
$514.90$514.90
Alabama
$513.17$513.17
Arkansas
$506.61$506.61

Billed by 1 specialties

Commercial rates for 19325

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

See negotiated rates