CPT 19357

Tissue Expander Placement Breast Reconstruction

CPT 19357 pays $1,072.84 in a non-facility setting and $1,072.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $958.46 in Arkansas to $1,306.11 in Alaska, a 36% spread.

National non-facility rate

$1,072.84

Office and other outpatient settings

Facility rate
$1,072.84

Hospital and ASC settings

Highest state
$1,306.11

Alaska

Lowest state
$958.46

Arkansas · 36% 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 $1,072.84
CPT 19357 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,072.84, national facility $1,072.84.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,306.11$1,306.11
District of Columbia
$1,197.97$1,197.97
New York
$1,186.06$1,186.06
New Jersey
$1,168.06$1,168.06
Florida
$1,160.50$1,160.50
Illinois
$1,140.46$1,140.46
Connecticut
$1,139.98$1,139.98
California
$1,139.97$1,139.97
Washington
$1,138.71$1,138.71
Massachusetts
$1,133.98$1,133.98
Maryland
$1,107.35$1,107.35
Hawaii
$1,102.91$1,102.91
Colorado
$1,090.66$1,090.66
Rhode Island
$1,088.66$1,088.66
New Hampshire
$1,081.93$1,081.93
Michigan
$1,079.44$1,079.44
Oregon
$1,078.26$1,078.26
Puerto Rico
$1,076.96$1,076.96
Virgin Islands
$1,076.96$1,076.96
Pennsylvania
$1,073.23$1,073.23
Montana
$1,072.66$1,072.66
Georgia
$1,068.47$1,068.47
Texas
$1,061.30$1,061.30
Delaware
$1,060.09$1,060.09
Nevada
$1,058.16$1,058.16
New Mexico
$1,049.71$1,049.71
Wyoming
$1,049.22$1,049.22
West Virginia
$1,046.67$1,046.67
Arizona
$1,044.30$1,044.30
Virginia
$1,037.65$1,037.65
Louisiana
$1,033.72$1,033.72
Utah
$1,033.65$1,033.65
Missouri
$1,030.36$1,030.36
Ohio
$1,030.18$1,030.18
Minnesota
$1,023.34$1,023.34
Vermont
$1,022.97$1,022.97
South Carolina
$1,021.31$1,021.31
North Dakota
$1,018.87$1,018.87
Maine
$1,016.71$1,016.71
South Dakota
$1,012.51$1,012.51
Kentucky
$1,009.76$1,009.76
North Carolina
$1,006.63$1,006.63
Oklahoma
$999.22$999.22
Indiana
$989.74$989.74
Wisconsin
$989.02$989.02
Tennessee
$985.39$985.39
Idaho
$985.06$985.06
Kansas
$979.90$979.90
Mississippi
$979.81$979.81
Nebraska
$977.93$977.93
Iowa
$975.67$975.67
Alabama
$971.07$971.07
Arkansas
$958.46$958.46

Billed by 1 specialties

Commercial rates for 19357

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

See negotiated rates