CPT code 19307: Mastectomy, modified radical, with nodes2026 Medicare rate & RVUs in Idaho

In Idaho, Medicare pays $1,015.72 for 19307 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 19307 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 19307 covers

A surgeon removes breast tissue and performs an axillary lymph node dissection, usually as treatment for breast cancer. The procedure is generally performed in a hospital operating room. The modified radical approach removes the breast and axillary nodes while preserving the pectoral muscles; the nodal dissection is part of this operation, not a separate service for the same work.

Report the code when the operative record supports both breast removal and axillary node dissection, rather than a simple mastectomy or partial breast removal. Document the side and the extent of the operation. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Idaho compares for 19307

Across 109 of 109 payment localities, the facility rate for 19307 runs from $998.32 in Arkansas to $1,376.92 in Alaska. Idaho pays $1,015.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

19307 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 19307 in every payment locality

How the 19307 rate is calculated

Each of 19307’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 19307

19307 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 19307

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 19307 has changed in Idaho

Price 19307 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Acequia
• Albion
• American Falls
• Ammon
• Arbon Valley
• Arco
• Arimo

Browse all communities in Idaho

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates