# CPT 49440: Insert Gastrostomy Tube Percutaneous

Medicare CPT 49440 pays $788.26 in a non-facility setting and $178.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $690.21 in Arkansas to $911.78 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/49440-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $788.26 |
| National facility | $178.36 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $911.78 | $193.31 |
| California | $904.66 | $182.98 |
| Alaska | $887.76 | $238.22 |
| Washington | $879.70 | $184.41 |
| New Jersey | $877.43 | $190.68 |
| New York | $874.16 | $193.76 |
| Hawaii | $870.71 | $177.26 |
| Massachusetts | $869.44 | $184.21 |
| Connecticut | $843.58 | $186.71 |
| Colorado | $827.99 | $179.06 |
| Oregon | $819.87 | $177.34 |
| Maryland | $818.49 | $182.67 |
| New Hampshire | $812.95 | $178.04 |
| Rhode Island | $810.46 | $180.43 |
| Florida | $804.01 | $192.08 |
| Minnesota | $796.88 | $169.30 |
| Puerto Rico | $795.15 | $178.54 |
| Virgin Islands | $795.15 | $178.54 |
| Montana | $788.23 | $178.33 |
| Nevada | $786.51 | $176.00 |
| Wyoming | $784.53 | $174.63 |
| Illinois | $780.00 | $190.68 |
| North Dakota | $779.73 | $169.83 |
| Delaware | $779.70 | $177.12 |
| South Dakota | $778.72 | $168.82 |
| Texas | $777.93 | $177.48 |
| Pennsylvania | $777.16 | $179.76 |
| Vermont | $774.71 | $170.91 |
| Virginia | $773.06 | $173.53 |
| Arizona | $766.17 | $175.17 |
| Georgia | $761.56 | $179.72 |
| Michigan | $754.71 | $182.02 |
| Maine | $754.15 | $171.40 |
| Wisconsin | $751.19 | $166.91 |
| Utah | $748.04 | $174.73 |
| North Carolina | $739.80 | $170.76 |
| New Mexico | $737.53 | $178.25 |
| South Carolina | $737.01 | $173.46 |
| Missouri | $734.85 | $175.17 |
| Indiana | $733.72 | $168.35 |
| Louisiana | $732.74 | $175.90 |
| Ohio | $732.18 | $175.34 |
| Nebraska | $729.59 | $166.65 |
| Idaho | $729.01 | $167.91 |
| Iowa | $724.69 | $166.63 |
| Tennessee | $722.83 | $168.43 |
| Kansas | $719.12 | $167.77 |
| Oklahoma | $715.94 | $171.30 |
| Kentucky | $715.34 | $173.14 |
| West Virginia | $709.83 | $179.83 |
| Alabama | $701.28 | $167.62 |
| Mississippi | $694.72 | $169.60 |
| Arkansas | $690.21 | $166.31 |

## 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 49440 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