# CPT 49010: Exploration, retroperitoneal area

Medicare CPT 49010 pays $864.42 in a non-facility setting and $864.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $765.84 in Wisconsin to $1,081.52 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/49010-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $864.42 |
| National facility | $864.42 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,081.52 | $1,081.52 |
| Florida | $987.80 | $987.80 |
| Illinois | $977.16 | $977.16 |
| New York | $960.29 | $960.29 |
| District of Columbia | $945.00 | $945.00 |
| New Jersey | $928.72 | $928.72 |
| Connecticut | $918.40 | $918.40 |
| Michigan | $904.31 | $904.31 |
| West Virginia | $892.53 | $892.53 |
| Maryland | $890.26 | $890.26 |
| Massachusetts | $885.20 | $885.20 |
| Washington | $883.20 | $883.20 |
| Georgia | $880.93 | $880.93 |
| Pennsylvania | $873.72 | $873.72 |
| New Mexico | $872.89 | $872.89 |
| Rhode Island | $867.35 | $867.35 |
| Puerto Rico | $864.80 | $864.80 |
| Virgin Islands | $864.80 | $864.80 |
| Montana | $864.16 | $864.16 |
| California | $862.65 | $862.65 |
| New Hampshire | $856.90 | $856.90 |
| Colorado | $855.86 | $855.86 |
| Texas | $854.79 | $854.79 |
| Louisiana | $852.09 | $852.09 |
| Delaware | $851.40 | $851.40 |
| Ohio | $847.03 | $847.03 |
| Missouri | $844.95 | $844.95 |
| Oregon | $844.10 | $844.10 |
| Nevada | $842.98 | $842.98 |
| Arizona | $839.19 | $839.19 |
| Hawaii | $838.87 | $838.87 |
| Utah | $838.49 | $838.49 |
| Wyoming | $830.72 | $830.72 |
| Kentucky | $829.89 | $829.89 |
| South Carolina | $828.88 | $828.88 |
| Virginia | $822.71 | $822.71 |
| Oklahoma | $812.86 | $812.86 |
| Maine | $806.59 | $806.59 |
| North Carolina | $803.44 | $803.44 |
| Mississippi | $801.16 | $801.16 |
| Vermont | $798.28 | $798.28 |
| North Dakota | $787.44 | $787.44 |
| Tennessee | $785.14 | $785.14 |
| Indiana | $782.34 | $782.34 |
| Alabama | $781.70 | $781.70 |
| Kansas | $779.81 | $779.81 |
| Minnesota | $779.32 | $779.32 |
| Idaho | $779.18 | $779.18 |
| South Dakota | $778.36 | $778.36 |
| Arkansas | $771.70 | $771.70 |
| Iowa | $768.27 | $768.27 |
| Nebraska | $767.50 | $767.50 |
| Wisconsin | $765.84 | $765.84 |

## 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 49010 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