CPT 49320

Laps Abd Prtm&Omentum Dx W/Wo Spec Br/Wa Spx

CPT 49320 pays $316.31 in a non-facility setting and $316.31 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $281.17 in Arkansas to $388.54 in Alaska, a 38% spread.

National non-facility rate

$316.31

Office and other outpatient settings

Facility rate
$316.31

Hospital and ASC settings

Highest state
$388.54

Alaska

Lowest state
$281.17

Arkansas · 38% 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 $316.31
CPT 49320 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $316.31, national facility $316.31.
StateRate compared visuallyNon-facilityFacility
Alaska
$388.54$388.54
Florida
$355.56$355.56
New York
$351.48$351.48
Illinois
$350.68$350.68
District of Columbia
$349.19$349.19
New Jersey
$341.91$341.91
Connecticut
$336.59$336.59
Washington
$328.01$328.01
Massachusetts
$327.97$327.97
Michigan
$326.47$326.47
Maryland
$326.25$326.25
California
$323.27$323.27
West Virginia
$319.88$319.88
Georgia
$319.67$319.67
Rhode Island
$318.61$318.61
Pennsylvania
$318.44$318.44
Puerto Rico
$316.88$316.88
Virgin Islands
$316.88$316.88
Colorado
$316.22$316.22
Montana
$316.22$316.22
New Mexico
$315.61$315.61
New Hampshire
$315.59$315.59
Hawaii
$313.79$313.79
Texas
$312.63$312.63
Oregon
$312.06$312.06
Delaware
$311.70$311.70
Nevada
$309.55$309.55
Louisiana
$308.85$308.85
Ohio
$307.25$307.25
Arizona
$307.05$307.05
Missouri
$306.78$306.78
Utah
$305.64$305.64
Wyoming
$305.62$305.62
Virginia
$302.39$302.39
South Carolina
$301.94$301.94
Kentucky
$300.84$300.84
Maine
$296.16$296.16
Oklahoma
$295.60$295.60
Vermont
$294.93$294.93
North Carolina
$294.25$294.25
North Dakota
$291.90$291.90
Mississippi
$290.59$290.59
Minnesota
$290.51$290.51
South Dakota
$289.03$289.03
Tennessee
$287.47$287.47
Indiana
$287.31$287.31
Idaho
$286.02$286.02
Kansas
$285.57$285.57
Alabama
$284.99$284.99
Wisconsin
$283.35$283.35
Nebraska
$282.45$282.45
Iowa
$282.36$282.36
Arkansas
$281.17$281.17

Billed by 1 specialties

Commercial rates for 49320

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

See negotiated rates