# CPT 27486: Revision of total knee arthroplasty, 1 component

Medicare CPT 27486 pays $1,274.91 in a non-facility setting and $1,274.91 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,142.14 in Arkansas to $1,582.26 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/27486-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,274.91 |
| National facility | $1,274.91 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,582.26 | $1,582.26 |
| Florida | $1,413.93 | $1,413.93 |
| New York | $1,410.84 | $1,410.84 |
| District of Columbia | $1,407.12 | $1,407.12 |
| Illinois | $1,394.77 | $1,394.77 |
| New Jersey | $1,378.00 | $1,378.00 |
| Connecticut | $1,353.20 | $1,353.20 |
| Washington | $1,327.79 | $1,327.79 |
| Massachusetts | $1,326.34 | $1,326.34 |
| California | $1,314.05 | $1,314.05 |
| Maryland | $1,313.90 | $1,313.90 |
| Michigan | $1,307.17 | $1,307.17 |
| Rhode Island | $1,286.87 | $1,286.87 |
| Georgia | $1,284.17 | $1,284.17 |
| Pennsylvania | $1,282.07 | $1,282.07 |
| West Virginia | $1,279.65 | $1,279.65 |
| Colorado | $1,279.63 | $1,279.63 |
| Puerto Rico | $1,277.59 | $1,277.59 |
| Virgin Islands | $1,277.59 | $1,277.59 |
| New Hampshire | $1,274.87 | $1,274.87 |
| Montana | $1,274.62 | $1,274.62 |
| Hawaii | $1,274.28 | $1,274.28 |
| New Mexico | $1,267.44 | $1,267.44 |
| Oregon | $1,263.88 | $1,263.88 |
| Texas | $1,261.51 | $1,261.51 |
| Delaware | $1,258.37 | $1,258.37 |
| Nevada | $1,251.09 | $1,251.09 |
| Louisiana | $1,243.30 | $1,243.30 |
| Arizona | $1,240.29 | $1,240.29 |
| Ohio | $1,237.63 | $1,237.63 |
| Wyoming | $1,237.14 | $1,237.14 |
| Missouri | $1,236.25 | $1,236.25 |
| Utah | $1,233.58 | $1,233.58 |
| Virginia | $1,224.68 | $1,224.68 |
| South Carolina | $1,219.53 | $1,219.53 |
| Kentucky | $1,213.51 | $1,213.51 |
| Maine | $1,200.98 | $1,200.98 |
| Vermont | $1,198.72 | $1,198.72 |
| Oklahoma | $1,195.23 | $1,195.23 |
| North Carolina | $1,192.85 | $1,192.85 |
| North Dakota | $1,188.61 | $1,188.61 |
| Minnesota | $1,185.44 | $1,185.44 |
| South Dakota | $1,178.44 | $1,178.44 |
| Mississippi | $1,175.57 | $1,175.57 |
| Indiana | $1,167.97 | $1,167.97 |
| Tennessee | $1,167.43 | $1,167.43 |
| Idaho | $1,162.99 | $1,162.99 |
| Kansas | $1,160.42 | $1,160.42 |
| Alabama | $1,156.62 | $1,156.62 |
| Wisconsin | $1,155.81 | $1,155.81 |
| Nebraska | $1,150.51 | $1,150.51 |
| Iowa | $1,149.74 | $1,149.74 |
| Arkansas | $1,142.14 | $1,142.14 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 27486 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