CPT 49002

Reopening Recent Laparotomy

CPT 49002 pays $974.30 in a non-facility setting and $974.30 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $864.79 in Wisconsin to $1,214.09 in Alaska, a 40% spread.

National non-facility rate

$974.30

Office and other outpatient settings

Facility rate
$974.30

Hospital and ASC settings

Highest state
$1,214.09

Alaska

Lowest state
$864.79

Wisconsin · 40% 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 $974.30
CPT 49002 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $974.30, national facility $974.30.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,214.09$1,214.09
Florida
$1,110.18$1,110.18
Illinois
$1,097.55$1,097.55
New York
$1,082.58$1,082.58
District of Columbia
$1,067.26$1,067.26
New Jersey
$1,048.09$1,048.09
Connecticut
$1,035.57$1,035.57
Michigan
$1,016.71$1,016.71
Maryland
$1,003.77$1,003.77
West Virginia
$1,002.04$1,002.04
Massachusetts
$1,000.15$1,000.15
Washington
$998.35$998.35
Georgia
$991.34$991.34
Pennsylvania
$984.03$984.03
New Mexico
$981.60$981.60
Rhode Island
$978.31$978.31
California
$976.80$976.80
Puerto Rico
$975.00$975.00
Virgin Islands
$975.00$975.00
Montana
$974.02$974.02
New Hampshire
$967.03$967.03
Colorado
$966.44$966.44
Texas
$963.33$963.33
Delaware
$959.68$959.68
Louisiana
$958.60$958.60
Oregon
$953.24$953.24
Ohio
$953.04$953.04
Missouri
$950.87$950.87
Nevada
$950.74$950.74
Hawaii
$949.54$949.54
Arizona
$945.78$945.78
Utah
$944.31$944.31
Wyoming
$937.22$937.22
Kentucky
$933.60$933.60
South Carolina
$933.34$933.34
Virginia
$928.00$928.00
Oklahoma
$914.94$914.94
Maine
$909.58$909.58
North Carolina
$905.56$905.56
Mississippi
$901.28$901.28
Vermont
$901.27$901.27
North Dakota
$889.59$889.59
Tennessee
$884.84$884.84
Indiana
$882.20$882.20
Minnesota
$881.37$881.37
Alabama
$880.22$880.22
South Dakota
$879.60$879.60
Kansas
$878.84$878.84
Idaho
$878.54$878.54
Arkansas
$868.82$868.82
Iowa
$866.41$866.41
Nebraska
$865.76$865.76
Wisconsin
$864.79$864.79

Billed by 1 specialties

Commercial rates for 49002

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

See negotiated rates