CPT code 19086: Breast biopsy2026 Medicare rate & RVUs in Wyoming**

In Wyoming**, Medicare pays $551.64 for 19086 in the office and $74.01 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 19086 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 19086 covers

This code covers needle sampling of an additional breast target identified and accessed with MRI guidance. It is typically performed by a radiologist or other qualified breast-imaging clinician in an outpatient imaging center or hospital MRI suite. The biopsy may include placement of a marker at the sampled site and imaging of the specimen when performed. The first MRI-guided lesion is reported separately with the primary code.

Report one unit for each additional lesion sampled under MRI guidance, supported by documentation identifying the targets and confirming MRI guidance and tissue sampling. Do not use this code by itself: it is an add-on reported with the primary MRI-guided breast biopsy procedure. Under the CMS rule for this code, payment is within the primary procedure’s global period. The documentation should distinguish each additional target from the first lesion and from targets sampled using another guidance method.

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 Wyoming** compares for 19086

Across 109 of 109 payment localities, the office rate for 19086 runs from $481.51 in Arkansas to $772.83 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Wyoming** pays $551.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

19086 rates by state

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

See 19086 in every payment locality

How the 19086 rate is calculated

Each of 19086’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 19086

The CMS indicators that decide how 19086 is paid alongside other services.

Codes related to 19086

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

How 19086 has changed in Wyoming**

Price 19086 for an earlier date of service

Where the Wyoming** rate applies

Wyoming** is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.

• 19086 in Afton
• 19086 in Albany
• 19086 in Albin
• 19086 in Alcova
• 19086 in Alpine
• 19086 in Alpine Northeast
• 19086 in Alpine Northwest
• 19086 in Alta

Browse all communities in Wyoming

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