# CPT 27506: Open treatment of femoral shaft fracture, with plate/screws

Medicare CPT 27506 pays $1,223.14 in a non-facility setting and $1,223.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,094.61 in Arkansas to $1,511.84 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/27506-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,223.14 |
| National facility | $1,223.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,511.84 | $1,511.84 |
| New York | $1,353.73 | $1,353.73 |
| District of Columbia | $1,352.76 | $1,352.76 |
| Florida | $1,352.06 | $1,352.06 |
| Illinois | $1,332.87 | $1,332.87 |
| New Jersey | $1,323.72 | $1,323.72 |
| Connecticut | $1,298.75 | $1,298.75 |
| Washington | $1,277.70 | $1,277.70 |
| Massachusetts | $1,275.71 | $1,275.71 |
| California | $1,266.68 | $1,266.68 |
| Maryland | $1,260.96 | $1,260.96 |
| Michigan | $1,250.63 | $1,250.63 |
| Rhode Island | $1,235.57 | $1,235.57 |
| Colorado | $1,230.05 | $1,230.05 |
| Georgia | $1,229.92 | $1,229.92 |
| Pennsylvania | $1,228.99 | $1,228.99 |
| Hawaii | $1,227.93 | $1,227.93 |
| Puerto Rico | $1,226.06 | $1,226.06 |
| Virgin Islands | $1,226.06 | $1,226.06 |
| New Hampshire | $1,224.71 | $1,224.71 |
| Montana | $1,222.87 | $1,222.87 |
| West Virginia | $1,222.39 | $1,222.39 |
| Oregon | $1,215.04 | $1,215.04 |
| New Mexico | $1,212.97 | $1,212.97 |
| Texas | $1,210.13 | $1,210.13 |
| Delaware | $1,207.36 | $1,207.36 |
| Nevada | $1,201.11 | $1,201.11 |
| Louisiana | $1,190.44 | $1,190.44 |
| Arizona | $1,189.85 | $1,189.85 |
| Wyoming | $1,188.14 | $1,188.14 |
| Ohio | $1,185.19 | $1,185.19 |
| Missouri | $1,184.10 | $1,184.10 |
| Utah | $1,182.50 | $1,182.50 |
| Virginia | $1,175.94 | $1,175.94 |
| South Carolina | $1,168.86 | $1,168.86 |
| Kentucky | $1,161.91 | $1,161.91 |
| Maine | $1,152.90 | $1,152.90 |
| Vermont | $1,152.16 | $1,152.16 |
| Oklahoma | $1,145.13 | $1,145.13 |
| North Carolina | $1,144.49 | $1,144.49 |
| North Dakota | $1,143.19 | $1,143.19 |
| Minnesota | $1,141.39 | $1,141.39 |
| South Dakota | $1,133.76 | $1,133.76 |
| Mississippi | $1,125.66 | $1,125.66 |
| Indiana | $1,121.21 | $1,121.21 |
| Tennessee | $1,120.00 | $1,120.00 |
| Idaho | $1,116.32 | $1,116.32 |
| Kansas | $1,113.31 | $1,113.31 |
| Wisconsin | $1,111.15 | $1,111.15 |
| Alabama | $1,108.65 | $1,108.65 |
| Nebraska | $1,104.88 | $1,104.88 |
| Iowa | $1,103.84 | $1,103.84 |
| Arkansas | $1,094.61 | $1,094.61 |

## 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 27506 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