# CPT 49650: Laparoscopic repair, initial inguinal hernia

Medicare CPT 49650 pays $424.19 in a non-facility setting and $424.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $374.85 in Arkansas to $513.86 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/49650-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $424.19 |
| National facility | $424.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $513.86 | $513.86 |
| Florida | $476.27 | $476.27 |
| New York | $472.39 | $472.39 |
| District of Columbia | $470.48 | $470.48 |
| Illinois | $469.02 | $469.02 |
| New Jersey | $459.85 | $459.85 |
| Connecticut | $452.29 | $452.29 |
| Washington | $442.00 | $442.00 |
| Massachusetts | $441.66 | $441.66 |
| Maryland | $438.02 | $438.02 |
| California | $436.51 | $436.51 |
| Michigan | $436.46 | $436.46 |
| Georgia | $427.72 | $427.72 |
| Rhode Island | $427.61 | $427.61 |
| Pennsylvania | $426.48 | $426.48 |
| West Virginia | $426.35 | $426.35 |
| Colorado | $425.16 | $425.16 |
| Puerto Rico | $425.16 | $425.16 |
| Virgin Islands | $425.16 | $425.16 |
| Montana | $424.08 | $424.08 |
| New Hampshire | $424.06 | $424.06 |
| Hawaii | $423.56 | $423.56 |
| New Mexico | $421.63 | $421.63 |
| Oregon | $419.50 | $419.50 |
| Texas | $418.94 | $418.94 |
| Delaware | $417.78 | $417.78 |
| Nevada | $415.26 | $415.26 |
| Louisiana | $412.60 | $412.60 |
| Arizona | $411.31 | $411.31 |
| Ohio | $410.48 | $410.48 |
| Wyoming | $410.04 | $410.04 |
| Missouri | $409.95 | $409.95 |
| Utah | $408.88 | $408.88 |
| Virginia | $405.42 | $405.42 |
| South Carolina | $403.66 | $403.66 |
| Kentucky | $401.51 | $401.51 |
| Maine | $396.62 | $396.62 |
| Vermont | $395.67 | $395.67 |
| Oklahoma | $394.65 | $394.65 |
| North Carolina | $393.64 | $393.64 |
| North Dakota | $391.85 | $391.85 |
| Minnesota | $390.58 | $390.58 |
| South Dakota | $388.04 | $388.04 |
| Mississippi | $387.37 | $387.37 |
| Indiana | $384.33 | $384.33 |
| Tennessee | $384.18 | $384.18 |
| Idaho | $382.49 | $382.49 |
| Kansas | $381.57 | $381.57 |
| Alabama | $380.23 | $380.23 |
| Wisconsin | $379.68 | $379.68 |
| Nebraska | $377.80 | $377.80 |
| Iowa | $377.54 | $377.54 |
| Arkansas | $374.85 | $374.85 |

## 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 49650 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