# CPT 46060: Incision and drainage of ischiorectal/perirectal abscess

Medicare CPT 46060 pays $491.66 in a non-facility setting and $491.66 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $437.80 in Arkansas to $593.25 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/46060-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $491.66 |
| National facility | $491.66 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $593.25 | $593.25 |
| District of Columbia | $550.85 | $550.85 |
| New York | $544.13 | $544.13 |
| New Jersey | $536.42 | $536.42 |
| Florida | $530.42 | $530.42 |
| California | $525.50 | $525.50 |
| Washington | $523.92 | $523.92 |
| Connecticut | $523.03 | $523.03 |
| Massachusetts | $521.45 | $521.45 |
| Illinois | $520.66 | $520.66 |
| Hawaii | $508.24 | $508.24 |
| Maryland | $507.84 | $507.84 |
| Colorado | $501.00 | $501.00 |
| Rhode Island | $499.33 | $499.33 |
| New Hampshire | $496.66 | $496.66 |
| Oregon | $495.30 | $495.30 |
| Puerto Rico | $493.75 | $493.75 |
| Virgin Islands | $493.75 | $493.75 |
| Michigan | $493.10 | $493.10 |
| Montana | $491.58 | $491.58 |
| Pennsylvania | $491.29 | $491.29 |
| Georgia | $488.62 | $488.62 |
| Texas | $486.17 | $486.17 |
| Delaware | $485.72 | $485.72 |
| Nevada | $485.21 | $485.21 |
| Wyoming | $481.24 | $481.24 |
| New Mexico | $479.45 | $479.45 |
| Arizona | $478.32 | $478.32 |
| West Virginia | $476.95 | $476.95 |
| Virginia | $475.73 | $475.73 |
| Utah | $472.92 | $472.92 |
| Louisiana | $472.30 | $472.30 |
| Missouri | $470.93 | $470.93 |
| Ohio | $470.74 | $470.74 |
| Minnesota | $470.52 | $470.52 |
| Vermont | $469.42 | $469.42 |
| North Dakota | $467.85 | $467.85 |
| South Carolina | $467.09 | $467.09 |
| Maine | $465.83 | $465.83 |
| South Dakota | $465.05 | $465.05 |
| Kentucky | $461.15 | $461.15 |
| North Carolina | $460.83 | $460.83 |
| Oklahoma | $456.60 | $456.60 |
| Wisconsin | $453.67 | $453.67 |
| Indiana | $453.24 | $453.24 |
| Idaho | $451.01 | $451.01 |
| Tennessee | $450.89 | $450.89 |
| Kansas | $448.34 | $448.34 |
| Nebraska | $447.93 | $447.93 |
| Mississippi | $447.26 | $447.26 |
| Iowa | $446.74 | $446.74 |
| Alabama | $443.75 | $443.75 |
| Arkansas | $437.80 | $437.80 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule

Commercial negotiated rates for 46060 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules