CPT 49000

Exploratory Laparotomy Celiotomy W/Wo Biopsy Spx

CPT 49000 pays $728.81 in a non-facility setting and $728.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $649.06 in Arkansas to $902.20 in Alaska, a 39% spread.

National non-facility rate

$728.81

Office and other outpatient settings

Facility rate
$728.81

Hospital and ASC settings

Highest state
$902.20

Alaska

Lowest state
$649.06

Arkansas · 39% 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 $728.81
CPT 49000 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $728.81, national facility $728.81.
StateRate compared visuallyNon-facilityFacility
Alaska
$902.20$902.20
Florida
$824.71$824.71
Illinois
$814.41$814.41
New York
$809.73$809.73
District of Columbia
$801.35$801.35
New Jersey
$785.83$785.83
Connecticut
$775.01$775.01
Michigan
$756.37$756.37
Massachusetts
$751.86$751.86
Maryland
$751.25$751.25
Washington
$751.23$751.23
West Virginia
$743.35$743.35
Georgia
$739.07$739.07
California
$737.71$737.71
Pennsylvania
$734.92$734.92
Rhode Island
$732.96$732.96
New Mexico
$730.77$730.77
Puerto Rico
$729.72$729.72
Virgin Islands
$729.72$729.72
Montana
$728.61$728.61
Colorado
$725.76$725.76
New Hampshire
$725.25$725.25
Texas
$720.50$720.50
Delaware
$718.06$718.06
Hawaii
$716.59$716.59
Oregon
$716.04$716.04
Louisiana
$714.41$714.41
Nevada
$712.24$712.24
Ohio
$710.49$710.49
Missouri
$709.14$709.14
Arizona
$707.52$707.52
Utah
$705.37$705.37
Wyoming
$702.67$702.67
South Carolina
$697.02$697.02
Kentucky
$695.87$695.87
Virginia
$695.51$695.51
Oklahoma
$682.87$682.87
Maine
$681.48$681.48
North Carolina
$677.79$677.79
Vermont
$676.94$676.94
Mississippi
$672.02$672.02
North Dakota
$669.09$669.09
Minnesota
$664.40$664.40
Tennessee
$662.26$662.26
South Dakota
$662.05$662.05
Indiana
$661.09$661.09
Idaho
$658.24$658.24
Kansas
$657.84$657.84
Alabama
$657.70$657.70
Wisconsin
$650.01$650.01
Iowa
$649.50$649.50
Nebraska
$649.35$649.35
Arkansas
$649.06$649.06

Billed by 1 specialties

Commercial rates for 49000

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

See negotiated rates