# CPT 49000: Exploratory laparotomy

Medicare 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.

Web page: https://www.med-reveal.com/rates/49000-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $728.81 |
| National facility | $728.81 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $902.20 | $902.20 |
| Florida | $824.72 | $824.72 |
| 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 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 49000 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