# CPT 27758: Open treatment of tibial shaft fracture, with plate/screws

Medicare CPT 27758 pays $833.35 in a non-facility setting and $833.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $743.92 in Arkansas to $1,021.09 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/27758-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $833.35 |
| National facility | $833.35 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,021.09 | $1,021.09 |
| District of Columbia | $925.46 | $925.46 |
| New York | $922.78 | $922.78 |
| Florida | $915.74 | $915.74 |
| New Jersey | $904.19 | $904.19 |
| Illinois | $901.54 | $901.54 |
| Connecticut | $885.65 | $885.65 |
| Washington | $875.58 | $875.58 |
| Massachusetts | $873.43 | $873.43 |
| California | $870.84 | $870.84 |
| Maryland | $859.73 | $859.73 |
| Michigan | $847.65 | $847.65 |
| Hawaii | $843.66 | $843.66 |
| Rhode Island | $843.03 | $843.03 |
| Colorado | $841.15 | $841.15 |
| New Hampshire | $836.52 | $836.52 |
| Pennsylvania | $836.00 | $836.00 |
| Puerto Rico | $835.79 | $835.79 |
| Virgin Islands | $835.79 | $835.79 |
| Georgia | $835.24 | $835.24 |
| Montana | $833.18 | $833.18 |
| Oregon | $831.02 | $831.02 |
| West Virginia | $825.94 | $825.94 |
| Texas | $824.24 | $824.24 |
| Delaware | $822.66 | $822.66 |
| New Mexico | $822.47 | $822.47 |
| Nevada | $819.36 | $819.36 |
| Wyoming | $811.03 | $811.03 |
| Arizona | $810.48 | $810.48 |
| Louisiana | $807.89 | $807.89 |
| Ohio | $804.54 | $804.54 |
| Utah | $804.26 | $804.26 |
| Missouri | $804.10 | $804.10 |
| Virginia | $802.35 | $802.35 |
| South Carolina | $794.71 | $794.71 |
| Kentucky | $788.42 | $788.42 |
| Vermont | $787.56 | $787.56 |
| Maine | $786.21 | $786.21 |
| Minnesota | $782.75 | $782.75 |
| North Dakota | $782.36 | $782.36 |
| North Carolina | $779.65 | $779.65 |
| Oklahoma | $777.94 | $777.94 |
| South Dakota | $776.35 | $776.35 |
| Indiana | $764.48 | $764.48 |
| Mississippi | $763.82 | $763.82 |
| Tennessee | $762.76 | $762.76 |
| Idaho | $760.99 | $760.99 |
| Wisconsin | $759.71 | $759.71 |
| Kansas | $758.23 | $758.23 |
| Nebraska | $753.86 | $753.86 |
| Alabama | $753.72 | $753.72 |
| Iowa | $752.77 | $752.77 |
| Arkansas | $743.92 | $743.92 |

## 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 27758 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