Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 27440 Fee Schedule
Medicare rates as of October 2026
CPT 27440 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arthroplasty Knee Tibial Plateau
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $745.84 national non-facility rate (2026)View Medicare rates for 27440 |
| Medicaid Fee Schedule | $587.34 median of the 8 states in the free previewView Medicaid rates for 27440 |
National average reimbursement for CPT 27440 by major payers:
$1,099.32
BCBS / Anthem
$1,059.86
UnitedHealthcare
$1,084.15
Aetna
$1,298.37
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27440.
CPT 27440
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Orthopaedic Surgery Center
Emory Ambulatory Surgery Center At Dunwoody LLC
$6,846.00Published rateThe Polyclinic, The Polyclinic Plastic Surgery Center
The Polyclinic, PLLC
$4,016.00Published rateDialysis Access Services, LLC
Dialysis Access Services LLC
$2,200.00Published rateEye Care Surgery Center Of Memphis, LLC
$1,417.00Published rateMiddletown Endoscopy Asc LLC, The Gi Endoscopy Center
Middletown Endoscopy Asc LLC
$912.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27440 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27440. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27438-CPT | Arthroplasty, Patella; W Prosthesis |
| 27440-CPT | Arthroplasty Knee Tibial Plateau |
| 27442-CPT | Knee Joint Replacement Surgery, Surgery To Replace The Damaged Ends Of A Knee Joint (Cartilage) With Artificial Parts Where It Joins The Leg (Femur) Bone. |
| 27486-CPT | Revisn Of Total Knee Arthroplst W//W/O Allogrft; 1 Comp, Revision Of Total Knee Arthroplasty With Or Without Allograft; 1 Comp |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27440 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 27440) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is CPT 27440 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27440 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27440 in an ambulatory surgery center?
CMS lists CPT 27440 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27440?
Hospital price transparency files list CPT 27440 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.