CPT 49505

Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible

CPT 49505 pays $508.03 in a non-facility setting and $508.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $449.39 in Arkansas to $618.60 in Alaska, a 38% spread.

National non-facility rate

$508.03

Office and other outpatient settings

Facility rate
$508.03

Hospital and ASC settings

Highest state
$618.60

Alaska

Lowest state
$449.39

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 $508.03
CPT 49505 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $508.03, national facility $508.03.
StateRate compared visuallyNon-facilityFacility
Alaska
$618.60$618.60
Florida
$573.45$573.45
New York
$565.79$565.79
Illinois
$565.23$565.23
District of Columbia
$561.87$561.87
New Jersey
$549.75$549.75
Connecticut
$541.48$541.48
Washington
$527.00$527.00
Massachusetts
$526.97$526.97
Michigan
$524.93$524.93
Maryland
$524.37$524.37
California
$519.03$519.03
West Virginia
$513.91$513.91
Georgia
$513.57$513.57
Rhode Island
$511.51$511.51
Pennsylvania
$511.39$511.39
Puerto Rico
$508.98$508.98
Virgin Islands
$508.98$508.98
Montana
$507.89$507.89
Colorado
$507.69$507.69
New Hampshire
$506.86$506.86
New Mexico
$506.82$506.82
Hawaii
$503.91$503.91
Texas
$501.79$501.79
Oregon
$500.82$500.82
Delaware
$500.24$500.24
Nevada
$496.77$496.77
Louisiana
$495.55$495.55
Ohio
$492.88$492.88
Arizona
$492.58$492.58
Missouri
$492.10$492.10
Wyoming
$490.23$490.23
Utah
$490.22$490.22
Virginia
$484.83$484.83
South Carolina
$484.05$484.05
Kentucky
$482.19$482.19
Maine
$474.43$474.43
Oklahoma
$473.46$473.46
Vermont
$472.40$472.40
North Carolina
$471.22$471.22
North Dakota
$467.36$467.36
Mississippi
$465.09$465.09
Minnesota
$465.05$465.05
South Dakota
$462.56$462.56
Tennessee
$459.91$459.91
Indiana
$459.67$459.67
Idaho
$457.51$457.51
Kansas
$456.75$456.75
Alabama
$455.77$455.77
Wisconsin
$453.07$453.07
Nebraska
$451.55$451.55
Iowa
$451.41$451.41
Arkansas
$449.39$449.39

Billed by 1 specialties

Commercial rates for 49505

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

See negotiated rates