# CPT 49407: Image-guided fluid collection drainage, transrectal/transvaginal, percutaneous

Medicare CPT 49407 pays $736.82 in a non-facility setting and $180.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $646.57 in Arkansas to $849.72 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/49407-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $736.82 |
| National facility | $180.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $849.72 | $193.82 |
| California | $840.56 | $181.72 |
| Alaska | $836.11 | $243.13 |
| Washington | $819.00 | $184.26 |
| New Jersey | $818.63 | $191.68 |
| New York | $816.73 | $195.57 |
| Massachusetts | $809.92 | $184.36 |
| Hawaii | $809.32 | $176.25 |
| Connecticut | $787.94 | $188.28 |
| Colorado | $771.97 | $179.54 |
| Maryland | $764.66 | $184.20 |
| Oregon | $764.33 | $177.75 |
| New Hampshire | $758.54 | $178.91 |
| Rhode Island | $756.80 | $181.63 |
| Florida | $754.89 | $196.24 |
| Puerto Rico | $742.96 | $180.05 |
| Virgin Islands | $742.96 | $180.05 |
| Minnesota | $741.70 | $168.76 |
| Montana | $736.79 | $180.00 |
| Nevada | $734.56 | $177.21 |
| Illinois | $733.20 | $195.20 |
| Wyoming | $732.39 | $175.60 |
| Delaware | $728.82 | $178.71 |
| Texas | $727.36 | $179.20 |
| Pennsylvania | $727.32 | $181.95 |
| North Dakota | $726.71 | $169.91 |
| South Dakota | $725.51 | $168.72 |
| Vermont | $722.59 | $171.37 |
| Virginia | $721.93 | $174.60 |
| Arizona | $716.34 | $176.81 |
| Georgia | $713.63 | $182.45 |
| Michigan | $708.30 | $185.47 |
| Maine | $704.58 | $172.57 |
| Wisconsin | $700.61 | $167.20 |
| Utah | $700.20 | $176.81 |
| New Mexico | $691.98 | $181.40 |
| North Carolina | $691.71 | $172.23 |
| South Carolina | $690.07 | $175.60 |
| Missouri | $688.68 | $177.73 |
| Louisiana | $687.03 | $178.68 |
| Ohio | $686.37 | $178.02 |
| Indiana | $685.62 | $169.47 |
| Nebraska | $681.45 | $167.53 |
| Idaho | $681.33 | $169.08 |
| Iowa | $677.12 | $167.66 |
| Tennessee | $676.02 | $169.89 |
| Kansas | $672.55 | $169.21 |
| Kentucky | $670.83 | $175.84 |
| Oklahoma | $670.80 | $173.59 |
| West Virginia | $667.99 | $184.13 |
| Alabama | $656.74 | $169.55 |
| Mississippi | $651.55 | $172.15 |
| Arkansas | $646.57 | $168.28 |

## Related codes

- 36901: Introduction of needle/catheter, dialysis circuit, imaging, diagnostic — https://www.med-reveal.com/rates/36901-cpt-fee-schedule
- 36902: Dialysis circuit, transluminal balloon angioplasty — https://www.med-reveal.com/rates/36902-cpt-fee-schedule
- 36905: Dialysis circuit, transluminal balloon angioplasty and thrombectomy — https://www.med-reveal.com/rates/36905-cpt-fee-schedule
- 37184: Primary percutaneous transluminal mechanical thrombectomy, non-coronary, initial vessel — https://www.med-reveal.com/rates/37184-cpt-fee-schedule
- 37191: Insertion of intravascular vena cava filter — https://www.med-reveal.com/rates/37191-cpt-fee-schedule
- 37193: Retrieval of intravascular vena cava filter, endovascular approach — https://www.med-reveal.com/rates/37193-cpt-fee-schedule
- 37211: Transcatheter thrombolytic infusion, arterial, initial treatment day — https://www.med-reveal.com/rates/37211-cpt-fee-schedule
- 37241: Vascular embolization/occlusion, venous — https://www.med-reveal.com/rates/37241-cpt-fee-schedule

Commercial negotiated rates for 49407 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