# CPT 49321: Laparoscopy Surg W/bx Single/multiple

Medicare CPT 49321 pays $329.33 in a non-facility setting and $329.33 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $293.38 in Arkansas to $406.11 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/49321-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $329.33 |
| National facility | $329.33 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $406.11 | $406.11 |
| Florida | $369.54 | $369.54 |
| New York | $365.60 | $365.60 |
| Illinois | $364.57 | $364.57 |
| District of Columbia | $363.27 | $363.27 |
| New Jersey | $355.81 | $355.81 |
| Connecticut | $350.20 | $350.20 |
| Washington | $341.46 | $341.46 |
| Massachusetts | $341.40 | $341.40 |
| Michigan | $339.76 | $339.76 |
| Maryland | $339.58 | $339.58 |
| California | $336.62 | $336.62 |
| West Virginia | $333.03 | $333.03 |
| Georgia | $332.80 | $332.80 |
| Rhode Island | $331.79 | $331.79 |
| Pennsylvania | $331.57 | $331.57 |
| Puerto Rico | $329.91 | $329.91 |
| Virgin Islands | $329.91 | $329.91 |
| Colorado | $329.29 | $329.29 |
| Montana | $329.25 | $329.25 |
| New Mexico | $328.64 | $328.64 |
| New Hampshire | $328.59 | $328.59 |
| Hawaii | $326.72 | $326.72 |
| Texas | $325.60 | $325.60 |
| Oregon | $325.01 | $325.01 |
| Delaware | $324.64 | $324.64 |
| Nevada | $322.41 | $322.41 |
| Louisiana | $321.72 | $321.72 |
| Ohio | $320.08 | $320.08 |
| Arizona | $319.86 | $319.86 |
| Missouri | $319.60 | $319.60 |
| Utah | $318.43 | $318.43 |
| Wyoming | $318.39 | $318.39 |
| Virginia | $315.09 | $315.09 |
| South Carolina | $314.64 | $314.64 |
| Kentucky | $313.52 | $313.52 |
| Maine | $308.71 | $308.71 |
| Oklahoma | $308.15 | $308.15 |
| Vermont | $307.44 | $307.44 |
| North Carolina | $306.76 | $306.76 |
| North Dakota | $304.33 | $304.33 |
| Mississippi | $303.03 | $303.03 |
| Minnesota | $302.90 | $302.90 |
| South Dakota | $301.39 | $301.39 |
| Tennessee | $299.82 | $299.82 |
| Indiana | $299.65 | $299.65 |
| Idaho | $298.34 | $298.34 |
| Kansas | $297.88 | $297.88 |
| Alabama | $297.29 | $297.29 |
| Wisconsin | $295.58 | $295.58 |
| Nebraska | $294.67 | $294.67 |
| Iowa | $294.59 | $294.59 |
| Arkansas | $293.38 | $293.38 |

## 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 49321 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