# CPT 49521: Repair recurrent inguinal hernia

Medicare CPT 49521 pays $685.05 in a non-facility setting and $685.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $607.61 in Arkansas to $842.03 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/49521-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $685.05 |
| National facility | $685.05 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $842.03 | $842.03 |
| Florida | $778.09 | $778.09 |
| Illinois | $768.00 | $768.00 |
| New York | $762.55 | $762.55 |
| District of Columbia | $754.31 | $754.31 |
| New Jersey | $739.28 | $739.28 |
| Connecticut | $729.47 | $729.47 |
| Michigan | $711.76 | $711.76 |
| Massachusetts | $706.84 | $706.84 |
| Maryland | $706.56 | $706.56 |
| Washington | $706.18 | $706.18 |
| West Virginia | $699.08 | $699.08 |
| Georgia | $694.95 | $694.95 |
| California | $692.98 | $692.98 |
| Pennsylvania | $690.77 | $690.77 |
| Rhode Island | $688.67 | $688.67 |
| New Mexico | $686.91 | $686.91 |
| Puerto Rico | $685.94 | $685.94 |
| Virgin Islands | $685.94 | $685.94 |
| Montana | $684.86 | $684.86 |
| Colorado | $681.86 | $681.86 |
| New Hampshire | $681.63 | $681.63 |
| Texas | $676.86 | $676.86 |
| Delaware | $674.51 | $674.51 |
| Hawaii | $673.28 | $673.28 |
| Oregon | $672.51 | $672.51 |
| Louisiana | $671.04 | $671.04 |
| Nevada | $668.98 | $668.98 |
| Ohio | $667.24 | $667.24 |
| Missouri | $665.93 | $665.93 |
| Arizona | $664.38 | $664.38 |
| Utah | $662.28 | $662.28 |
| Wyoming | $659.69 | $659.69 |
| South Carolina | $654.18 | $654.18 |
| Kentucky | $653.03 | $653.03 |
| Virginia | $652.74 | $652.74 |
| Oklahoma | $640.43 | $640.43 |
| Maine | $639.11 | $639.11 |
| North Carolina | $635.52 | $635.52 |
| Vermont | $634.73 | $634.73 |
| Mississippi | $629.88 | $629.88 |
| North Dakota | $627.12 | $627.12 |
| Minnesota | $622.59 | $622.59 |
| Tennessee | $620.44 | $620.44 |
| South Dakota | $620.29 | $620.29 |
| Indiana | $619.32 | $619.32 |
| Idaho | $616.55 | $616.55 |
| Kansas | $616.16 | $616.16 |
| Alabama | $616.00 | $616.00 |
| Wisconsin | $608.58 | $608.58 |
| Iowa | $608.07 | $608.07 |
| Nebraska | $607.93 | $607.93 |
| Arkansas | $607.61 | $607.61 |

## 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 49521 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