How much does Medicare pay for CPT 27570?

Medicare allowed an average of $494.87 per service and paid $390.89 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3147.25, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 27570?

Manipulation of knee joint under anesthesia. It was billed 1,523 times to 1,407 Medicare beneficiaries by 96 providers in 2024.

Which specialty bills 27570 most?

Ambulatory Surgical Center, with 874 services from 53 clinicians. Next are Orthopedic Surgery, Sports Medicine.

CPT 27570

Manipulation of knee joint under anesthesia

$494.87Medicare-allowed amount per service, averaged across 1,523 services

Providers submitted

$3147.25

Asking price, not received

Medicare allowed

$494.87

The fee schedule figure

Medicare paid

$390.89

Balance is patient coinsurance

Providers submitted an average of $3147.25 for this code and Medicare allowed $494.87 — 6.4× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $390.89 (79%); the rest is the patient’s coinsurance and deductible.

Services: 1,523
Beneficiaries: 1,407
Providers billing it: 96
Total allowed: $753,687

What Medicare pays for CPT 27570

Across 1,523 services billed by 96 providers to 1,407 beneficiaries, Medicare allowed an average of $494.87 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 27570

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	874	784	$764.37	53
Orthopedic Surgery	638	612	$131.78	42
Sports Medicine	11	11	$141.21	1

27570 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	209	$554.83	$344.88	8
Florida	162	$527.70	$446.42	11
Ohio	113	$549.79	$442.34	7
Texas	95	$372.61	$305.87	6
Illinois	77	$539.41	$443.78	5
Washington	73	$731.20	$551.47	5
Maryland	65	$364.42	$297.06	4
New Jersey	55	$547.69	$412.37	4
New York	55	$440.19	$359.71	3
Tennessee	54	$691.83	$633.15	4
South Carolina	44	$330.36	$278.89	3
Arkansas	43	$304.80	$255.62	3
Montana	42	$508.48	$413.65	3
Indiana	41	$382.21	$317.81	3
Delaware	37	$345.35	$258.29	2
Oregon	36	$864.81	$633.39	2
Alaska	34	$496.73	$352.03	2
Pennsylvania	30	$121.57	$96.72	2
Oklahoma	29	$396.49	$341.50	2
Mississippi	28	$367.65	$361.47	2
Idaho	27	$414.82	$351.62	2
Arizona	26	$459.06	$359.71	2
Colorado	26	$482.18	$377.00	2
Michigan	17	$759.19	$643.66	1
Missouri	16	$133.59	$101.73	1
Massachusetts	16	$126.23	$84.14	1
Utah	14	$718.96	$588.51	1
North Carolina	13	$754.69	$642.07	1
Connecticut	12	$878.62	$642.07	1
Virginia	12	$135.70	$110.39	1
Kansas	11	$144.81	$118.24	1
West Virginia	11	$648.98	$656.65	1

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.