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 27486 Fee Schedule
Medicare rates as of October 2026
CPT 27486 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Revisn Of Total Knee Arthroplst W//W/O Allogrft; 1 Comp, Revision Of Total Knee Arthroplasty With Or Without Allograft; 1 Comp
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600975Sign up to view all 4 |
| Medicare Fee Schedule | $1,274.91 national non-facility rate (2026)View Medicare rates for 27486 |
| Medicaid Fee Schedule | $1,012.085 median of the 8 states in the free previewView Medicaid rates for 27486 |
National average reimbursement for CPT 27486 by major payers:
$1,908.30
BCBS / Anthem
$1,905.06
UnitedHealthcare
$2,034.60
Aetna
$2,295.29
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27486.
CPT 27486
5 of 25 sample ratesHigher to lower in this preview
Utku Kandemir
$8,019.22Published rateGregory Colbath
$3,728.66Published rateCharles Popkin
The New York And Presbyterian Hospital
$2,780.38Published rateTelly Psaradellis
Insight Chicago Inc
$2,277.62Published rateIndiana Joint Replacement Institute
$1,131.63Published 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 27486 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27486. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27438-CPT | Arthroplasty, Patella; W Prosthesis |
| 27440-CPT | Arthroplasty Knee Tibial Plateau |
| 27486-CPT | Revisn Of Total Knee Arthroplst W//W/O Allogrft; 1 Comp, Revision Of Total Knee Arthroplasty With Or Without Allograft; 1 Comp |
| 27487-CPT | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27486. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27486 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 27486) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What factors affect CPT 27486 fee schedules?
Factors that affect fee schedules include 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), and Provider Type (hospital providers may have different rates than private practice). For specific fee schedule information tailored to your location and situation, it's recommended to use Payerprice. Payerprice has a fee schedule lookup tool where you can search with the CPT code and your specific location to get more accurate estimates.
What APC is CPT 27486 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27486 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 27486 in an ambulatory surgery center?
CMS lists CPT 27486 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27486?
Hospital price transparency files list CPT 27486 under these revenue codes: 0360, 0975, 0960 and 0989. A revenue code names the hospital department or charge category for the line; it does not change what the service is.