# CPT 27827: Open Treatment Fracture Distal Tibia Only

Medicare CPT 27827 pays $1,053.13 in a non-facility setting and $1,053.13 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $938.77 in Arkansas to $1,280.62 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/27827-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Orthopaedic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,053.13 |
| National facility | $1,053.13 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,280.62 | $1,280.62 |
| District of Columbia | $1,174.48 | $1,174.48 |
| New York | $1,165.98 | $1,165.98 |
| Florida | $1,147.67 | $1,147.67 |
| New Jersey | $1,145.67 | $1,145.67 |
| Illinois | $1,128.30 | $1,128.30 |
| Connecticut | $1,119.83 | $1,119.83 |
| Washington | $1,113.85 | $1,113.85 |
| California | $1,112.19 | $1,112.19 |
| Massachusetts | $1,109.94 | $1,109.94 |
| Maryland | $1,087.12 | $1,087.12 |
| Hawaii | $1,076.63 | $1,076.63 |
| Colorado | $1,067.70 | $1,067.70 |
| Rhode Island | $1,067.29 | $1,067.29 |
| Michigan | $1,064.28 | $1,064.28 |
| New Hampshire | $1,060.26 | $1,060.26 |
| Puerto Rico | $1,056.86 | $1,056.86 |
| Virgin Islands | $1,056.86 | $1,056.86 |
| Oregon | $1,055.15 | $1,055.15 |
| Pennsylvania | $1,054.54 | $1,054.54 |
| Montana | $1,052.93 | $1,052.93 |
| Georgia | $1,051.38 | $1,051.38 |
| Texas | $1,041.46 | $1,041.46 |
| Delaware | $1,039.94 | $1,039.94 |
| Nevada | $1,037.20 | $1,037.20 |
| New Mexico | $1,033.59 | $1,033.59 |
| West Virginia | $1,033.45 | $1,033.45 |
| Wyoming | $1,027.60 | $1,027.60 |
| Arizona | $1,024.32 | $1,024.32 |
| Louisiana | $1,016.57 | $1,016.57 |
| Virginia | $1,016.21 | $1,016.21 |
| Utah | $1,014.72 | $1,014.72 |
| Ohio | $1,012.74 | $1,012.74 |
| Missouri | $1,012.62 | $1,012.62 |
| South Carolina | $1,002.43 | $1,002.43 |
| Vermont | $999.89 | $999.89 |
| Minnesota | $997.72 | $997.72 |
| Maine | $995.40 | $995.40 |
| North Dakota | $994.80 | $994.80 |
| Kentucky | $992.25 | $992.25 |
| South Dakota | $987.93 | $987.93 |
| North Carolina | $985.97 | $985.97 |
| Oklahoma | $980.59 | $980.59 |
| Indiana | $968.11 | $968.11 |
| Wisconsin | $965.30 | $965.30 |
| Tennessee | $964.59 | $964.59 |
| Idaho | $963.52 | $963.52 |
| Mississippi | $961.71 | $961.71 |
| Kansas | $958.99 | $958.99 |
| Nebraska | $955.61 | $955.61 |
| Iowa | $953.69 | $953.69 |
| Alabama | $951.35 | $951.35 |
| Arkansas | $938.77 | $938.77 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 27827 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