No office rate
Use 19302 when breast-conserving surgery is performed with axillary node dissection. Use 19307 when the breast is removed with the nodal dissection.
On this page
CMS RVU26D · Effective 2026-10-01
19307 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1103.75
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Breast surgery
About 19307: Modified radical breast mastectomy
Reports breast removal for cancer with axillary lymph node dissection, typically when the operation includes both breast tissue and regional nodal surgery.
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.
CMS billing rules for 19307
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.54 · 52%
- Practice expense (office) RVU11.66 · 35%
- Malpractice RVU4.53 · 13%
3.4K
Medicare services in 2024 · #2092 by national volume
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.
19307 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
19303 describes breast removal without the axillary node dissection included in 19307. The operative report should establish whether nodal dissection was performed.
No office rate
19305 is for a radical operation that includes removal of pectoral muscles. 19307 describes the modified radical approach, which preserves them.
No office rate
19306 identifies the Urban-type radical operation, a distinct, more extensive radical approach. Use 19307 for the modified radical operation with axillary dissection.
The same code, a different location
How does Chico compare?
19307 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 19307
Office
Unavailable
Facility
$1103.75
No comparable office rate is available.
Modesto
California · 19307
Office
Unavailable
Facility
$1103.75
No comparable office rate is available.
Napa
California · 19307
Office
Unavailable
Facility
$1212.92
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 19307
Office
Unavailable
Facility
$1156.85
No comparable office rate is available.
Redding
California · 19307
Office
Unavailable
Facility
$1103.75
No comparable office rate is available.
Rest Of California
California · 19307
Office
Unavailable
Facility
$1103.75
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 19307
Office
Unavailable
Facility
$1152.30
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 19307
Office
Unavailable
Facility
$1140.98
No comparable office rate is available.
Salinas
California · 19307
Office
Unavailable
Facility
$1136.49
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 19307
Office
Unavailable
Facility
$1151.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 19307
Office
Unavailable
Facility
$1260.09
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 19307
Office
Unavailable
Facility
$1254.94
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 19307
Office
Unavailable
Facility
$1292.99
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 19307
Office
Unavailable
Facility
$1271.96
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 19307
Office
Unavailable
Facility
$1120.50
No comparable office rate is available.
Santa Cruz-Watsonville
California · 19307
Office
Unavailable
Facility
$1152.44
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 19307
Office
Unavailable
Facility
$1137.46
No comparable office rate is available.
Santa Rosa-Petaluma
California · 19307
Office
Unavailable
Facility
$1162.78
No comparable office rate is available.
Stockton
California · 19307
Office
Unavailable
Facility
$1103.75
No comparable office rate is available.
Vallejo
California · 19307
Office
Unavailable
Facility
$1205.51
No comparable office rate is available.
Visalia
California · 19307
Office
Unavailable
Facility
$1103.75
No comparable office rate is available.
Yuba City
California · 19307
Office
Unavailable
Facility
$1103.75
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 19307
Office
Unavailable
Facility
$1244.67
No comparable office rate is available.
Miami
Florida · 19307
Office
Unavailable
Facility
$1373.93
No comparable office rate is available.
Chicago
Illinois · 19307
Office
Unavailable
Facility
$1328.60
No comparable office rate is available.
Manhattan
New York · 19307
Office
Unavailable
Facility
$1315.86
No comparable office rate is available.
Alaska*
Alaska · 19307
Office
Unavailable
Facility
$1376.92
No comparable office rate is available.
Alabama
Alabama · 19307
Office
Unavailable
Facility
$1012.26
No comparable office rate is available.
Arkansas
Arkansas · 19307
Office
Unavailable
Facility
$998.32
No comparable office rate is available.
Arizona
Arizona · 19307
Office
Unavailable
Facility
$1092.75
No comparable office rate is available.
Colorado
Colorado · 19307
Office
Unavailable
Facility
$1125.43
No comparable office rate is available.
Connecticut
Connecticut · 19307
Office
Unavailable
Facility
$1200.09
No comparable office rate is available.
Delaware
Delaware · 19307
Office
Unavailable
Facility
$1109.59
No comparable office rate is available.
Fort Lauderdale
Florida · 19307
Office
Unavailable
Facility
$1253.93
No comparable office rate is available.
Rest Of Florida
Florida · 19307
Office
Unavailable
Facility
$1185.58
No comparable office rate is available.
Atlanta
Georgia · 19307
Office
Unavailable
Facility
$1165.01
No comparable office rate is available.
Rest Of Georgia
Georgia · 19307
Office
Unavailable
Facility
$1113.60
No comparable office rate is available.
Hawaii, Guam
Hawaii · 19307
Office
Unavailable
Facility
$1116.27
No comparable office rate is available.
Iowa
Iowa · 19307
Office
Unavailable
Facility
$1002.27
No comparable office rate is available.
Idaho
Idaho · 19307
Office
Unavailable
Facility
$1015.72
No comparable office rate is available.
East St. Louis
Illinois · 19307
Office
Unavailable
Facility
$1248.88
No comparable office rate is available.
Rest Of Illinois
Illinois · 19307
Office
Unavailable
Facility
$1177.92
No comparable office rate is available.
Suburban Chicago
Illinois · 19307
Office
Unavailable
Facility
$1258.04
No comparable office rate is available.
Indiana
Indiana · 19307
Office
Unavailable
Facility
$1020.41
No comparable office rate is available.
Kansas
Kansas · 19307
Office
Unavailable
Facility
$1014.18
No comparable office rate is available.
Kentucky
Kentucky · 19307
Office
Unavailable
Facility
$1070.52
No comparable office rate is available.
New Orleans
Louisiana · 19307
Office
Unavailable
Facility
$1124.21
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 19307
Office
Unavailable
Facility
$1075.47
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 19307
Office
Unavailable
Facility
$1209.54
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 19307
Office
Unavailable
Facility
$1125.91
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 19307
Office
Unavailable
Facility
$1200.28
No comparable office rate is available.
Rest Of Maryland
Maryland · 19307
Office
Unavailable
Facility
$1124.74
No comparable office rate is available.
Rest Of Maine
Maine · 19307
Office
Unavailable
Facility
$1038.26
No comparable office rate is available.
Southern Maine
Maine · 19307
Office
Unavailable
Facility
$1067.28
No comparable office rate is available.
Detroit
Michigan · 19307
Office
Unavailable
Facility
$1216.78
No comparable office rate is available.
Rest Of Michigan
Michigan · 19307
Office
Unavailable
Facility
$1112.25
No comparable office rate is available.
Minnesota
Minnesota · 19307
Office
Unavailable
Facility
$1031.39
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 19307
Office
Unavailable
Facility
$1099.38
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 19307
Office
Unavailable
Facility
$1108.22
No comparable office rate is available.
Rest Of Missouri
Missouri · 19307
Office
Unavailable
Facility
$1068.93
No comparable office rate is available.
Mississippi
Mississippi · 19307
Office
Unavailable
Facility
$1032.99
No comparable office rate is available.
Montana**
Montana · 19307
Office
Unavailable
Facility
$1126.31
No comparable office rate is available.
North Carolina
North Carolina · 19307
Office
Unavailable
Facility
$1045.90
No comparable office rate is available.
North Dakota**
North Dakota · 19307
Office
Unavailable
Facility
$1036.74
No comparable office rate is available.
Nebraska
Nebraska · 19307
Office
Unavailable
Facility
$1002.51
No comparable office rate is available.
New Hampshire
New Hampshire · 19307
Office
Unavailable
Facility
$1123.67
No comparable office rate is available.
Northern Nj
New Jersey · 19307
Office
Unavailable
Facility
$1236.12
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 19307
Office
Unavailable
Facility
$1200.55
No comparable office rate is available.
New Mexico
New Mexico · 19307
Office
Unavailable
Facility
$1124.70
No comparable office rate is available.
Nevada**
Nevada · 19307
Office
Unavailable
Facility
$1101.73
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 19307
Office
Unavailable
Facility
$1367.38
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 19307
Office
Unavailable
Facility
$1221.75
No comparable office rate is available.
Queens
New York · 19307
Office
Unavailable
Facility
$1301.86
No comparable office rate is available.
Rest Of New York
New York · 19307
Office
Unavailable
Facility
$1062.20
No comparable office rate is available.
Ohio
Ohio · 19307
Office
Unavailable
Facility
$1093.94
No comparable office rate is available.
Oklahoma
Oklahoma · 19307
Office
Unavailable
Facility
$1051.20
No comparable office rate is available.
Portland
Oregon · 19307
Office
Unavailable
Facility
$1140.48
No comparable office rate is available.
Rest Of Oregon
Oregon · 19307
Office
Unavailable
Facility
$1080.12
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 19307
Office
Unavailable
Facility
$1182.33
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 19307
Office
Unavailable
Facility
$1086.36
No comparable office rate is available.
Puerto Rico
Puerto Rico · 19307
Office
Unavailable
Facility
$1128.63
No comparable office rate is available.
Rhode Island
Rhode Island · 19307
Office
Unavailable
Facility
$1134.25
No comparable office rate is available.
South Carolina
South Carolina · 19307
Office
Unavailable
Facility
$1074.32
No comparable office rate is available.
South Dakota**
South Dakota · 19307
Office
Unavailable
Facility
$1026.15
No comparable office rate is available.
Tennessee
Tennessee · 19307
Office
Unavailable
Facility
$1021.12
No comparable office rate is available.
Austin
Texas · 19307
Office
Unavailable
Facility
$1133.12
No comparable office rate is available.
Beaumont
Texas · 19307
Office
Unavailable
Facility
$1080.82
No comparable office rate is available.
Brazoria
Texas · 19307
Office
Unavailable
Facility
$1094.51
No comparable office rate is available.
Dallas
Texas · 19307
Office
Unavailable
Facility
$1108.84
No comparable office rate is available.
Fort Worth
Texas · 19307
Office
Unavailable
Facility
$1106.91
No comparable office rate is available.
Galveston
Texas · 19307
Office
Unavailable
Facility
$1102.55
No comparable office rate is available.
Houston
Texas · 19307
Office
Unavailable
Facility
$1185.46
No comparable office rate is available.
Rest Of Texas
Texas · 19307
Office
Unavailable
Facility
$1092.07
No comparable office rate is available.
Utah
Utah · 19307
Office
Unavailable
Facility
$1087.81
No comparable office rate is available.
Virginia
Virginia · 19307
Office
Unavailable
Facility
$1075.51
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 19307
Office
Unavailable
Facility
$1128.63
No comparable office rate is available.
Vermont
Vermont · 19307
Office
Unavailable
Facility
$1047.97
No comparable office rate is available.
Rest Of Washington
Washington · 19307
Office
Unavailable
Facility
$1118.71
No comparable office rate is available.
Seattle (King Cnty)
Washington · 19307
Office
Unavailable
Facility
$1216.62
No comparable office rate is available.
Wisconsin
Wisconsin · 19307
Office
Unavailable
Facility
$1005.55
No comparable office rate is available.
West Virginia
West Virginia · 19307
Office
Unavailable
Facility
$1140.81
No comparable office rate is available.
Wyoming**
Wyoming · 19307
Office
Unavailable
Facility
$1087.27
No comparable office rate is available.
See how rates vary across the country
19307 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 19307 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1214.13
$1103.75 × 110% = $1214.13
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 19307 in Chico.
PPRRVU2026_Oct_nonQPP.csv
1,691
- Code
- 19307
- Physician work
- 17.54
- Practice expense
- 11.66
- Malpractice
- 4.53
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.54 | × 1.017 | 17.8382 |
| Practice expense | 11.66 | × 1.096 | 12.7794 |
| Malpractice | 4.53 | × 0.536 | 2.4281 |
| Total RVUs | 33.0456 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1103.75
Open 19307 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.54 | 1.017 |
| Practice expense | 11.66 | 1.096 |
| Malpractice | 4.53 | 0.536 |
(17.54 × 1.017 + 11.66 × 1.096 + 4.53 × 0.536) × $33.4009 = $1103.75
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
19307 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1103.75 | RVU26D |
| 2026-07-01 | Not available in this setting | $1103.75 | RVU26C |
| 2026-04-01 | Not available in this setting | $1103.75 | RVU26B |
| 2026-01-01 | Not available in this setting | $1103.75 | RVU26A |
| 2025-10-01 | Not available in this setting | $1138.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $1138.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $1138.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $1138.96 | RVU25A |
19307 billing questions
How does this differ from a simple mastectomy?
This code includes axillary lymph node dissection along with breast removal. A simple mastectomy does not include that nodal operation.
Can the axillary dissection be reported separately?
The axillary lymph node dissection is included in this operation. Do not separately report the same nodal work as though it were a separate procedure.
What supports reporting this code instead of partial mastectomy with node removal?
The operative report should show removal of the breast, not breast-conserving excision, together with axillary lymph node dissection.
How is bilateral surgery reported?
Use modifier 50 for bilateral surgery. CMS pays bilateral procedures at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,68819303,,Mast simple complete,A,,14.63,9.04,NA,9.04,,3.75,27.42,27.42,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68919305,,Mast radical,A,,17.02,11.42,NA,11.42,,4.39,32.83,32.83,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69019306,,Mast rad urban type,A,,17.68,12.83,NA,12.83,,4.73,35.24,35.24,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69119307,,Mast mod rad,A,,17.54,11.66,NA,11.66,,4.53,33.73,33.73,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69219316,,Mastopexy,A,,10.81,8.89,NA,8.89,,2.13,21.83,21.83,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69319318,,Breast reduction,A,,15.63,10.76,NA,10.76,,2.96,29.35,29.35,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69419325,,Breast augmentation w/implt,A,,7.92,7.55,NA,7.55,,1.48,16.95,16.95,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536