# CPT 49180: Bx Abdl/retroperitoneal Mass Prq Needle

Medicare CPT 49180 pays $170.34 in a non-facility setting and $71.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $152.22 in Arkansas to $202.88 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/49180-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $170.34 |
| National facility | $71.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $202.88 | $97.23 |
| District of Columbia | $193.28 | $76.42 |
| California | $189.39 | $72.01 |
| New York | $187.65 | $76.98 |
| New Jersey | $187.34 | $75.64 |
| Washington | $185.96 | $72.87 |
| Massachusetts | $184.34 | $72.89 |
| Hawaii | $182.59 | $69.80 |
| Connecticut | $181.04 | $74.20 |
| Colorado | $176.61 | $71.06 |
| Florida | $176.39 | $76.86 |
| Maryland | $176.13 | $72.72 |
| Oregon | $174.91 | $70.40 |
| Rhode Island | $174.33 | $71.85 |
| New Hampshire | $174.02 | $70.75 |
| Illinois | $172.38 | $76.52 |
| Puerto Rico | $171.44 | $71.15 |
| Virgin Islands | $171.44 | $71.15 |
| Montana | $170.33 | $71.13 |
| Nevada | $169.45 | $70.15 |
| Minnesota | $169.24 | $67.16 |
| Pennsylvania | $169.06 | $71.89 |
| Wyoming | $168.78 | $69.58 |
| Delaware | $168.72 | $70.71 |
| Texas | $168.56 | $70.89 |
| North Dakota | $166.77 | $67.57 |
| Virginia | $166.74 | $69.23 |
| Georgia | $166.65 | $72.01 |
| South Dakota | $166.35 | $67.15 |
| Vermont | $166.30 | $68.09 |
| Michigan | $166.21 | $73.06 |
| Arizona | $166.13 | $70.01 |
| Maine | $163.30 | $68.52 |
| Utah | $163.26 | $70.01 |
| New Mexico | $162.60 | $71.63 |
| Wisconsin | $161.65 | $66.62 |
| Missouri | $161.37 | $70.34 |
| Louisiana | $161.25 | $70.67 |
| South Carolina | $161.24 | $69.58 |
| Ohio | $161.01 | $70.44 |
| North Carolina | $160.95 | $68.39 |
| Indiana | $159.38 | $67.42 |
| West Virginia | $158.80 | $72.60 |
| Idaho | $158.55 | $67.28 |
| Nebraska | $158.30 | $66.74 |
| Kentucky | $157.86 | $69.67 |
| Tennessee | $157.74 | $67.57 |
| Iowa | $157.55 | $66.78 |
| Oklahoma | $157.46 | $68.87 |
| Kansas | $157.01 | $67.33 |
| Alabama | $154.25 | $67.45 |
| Mississippi | $153.78 | $68.37 |
| Arkansas | $152.22 | $67.00 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 49180 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