# CPT 49505: Repair of initial inguinal hernia, reducible, age 5 or over

Medicare 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.

Web page: https://www.med-reveal.com/rates/49505-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $508.03 |
| National facility | $508.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $618.60 | $618.60 |
| Florida | $573.45 | $573.45 |
| New York | $565.79 | $565.79 |
| Illinois | $565.22 | $565.22 |
| 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 | $495.56 | $495.56 |
| Ohio | $492.88 | $492.88 |
| Arizona | $492.58 | $492.58 |
| Missouri | $492.11 | $492.11 |
| 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 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule

Commercial negotiated rates for 49505 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