How much does Medicare pay for CPT 27687?

Medicare allowed an average of $290.73 per service and paid $230.57 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2288.82, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 27687?

Lengthening of calf muscle. It was billed 2,616 times to 2,566 Medicare beneficiaries by 147 providers in 2024.

Which specialty bills 27687 most?

Orthopedic Surgery, with 1,286 services from 70 clinicians. Next are Physician Assistant, Podiatry, Ambulatory Surgical Center.

CPT 27687

Lengthening of calf muscle

$290.73Medicare-allowed amount per service, averaged across 2,616 services

Providers submitted

$2288.82

Asking price, not received

Medicare allowed

$290.73

The fee schedule figure

Medicare paid

$230.57

Balance is patient coinsurance

Providers submitted an average of $2288.82 for this code and Medicare allowed $290.73 — 7.9× 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 $230.57 (79%); the rest is the patient’s coinsurance and deductible.

Services: 2,616
Beneficiaries: 2,566
Providers billing it: 147
Total allowed: $760,550

What Medicare pays for CPT 27687

Across 2,616 services billed by 147 providers to 2,566 beneficiaries, Medicare allowed an average of $290.73 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 27687

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	1,286	1,268	$268.39	70
Physician Assistant	547	538	$39.49	31
Podiatry	370	359	$221.91	21
Ambulatory Surgical Center	368	357	$841.11	22
Nurse Practitioner	45	44	$48.00	3

27687 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
Illinois	212	$253.90	$204.26	7
Michigan	210	$306.07	$267.74	12
Florida	189	$200.55	$152.88	12
Washington	188	$512.98	$390.80	9
Ohio	162	$236.82	$197.20	8
Texas	155	$294.36	$244.64	9
California	136	$281.17	$215.43	8
Virginia	120	$302.92	$240.02	6
Tennessee	116	$279.38	$250.29	7
Missouri	114	$305.79	$261.11	7
Pennsylvania	99	$246.29	$209.18	6
Iowa	96	$314.62	$268.01	4
Wisconsin	94	$161.46	$134.11	3
Georgia	67	$376.12	$310.43	5
Nevada	59	$421.92	$357.25	3
North Dakota	52	$354.45	$324.45	3
Wyoming	47	$203.01	$164.42	4
South Carolina	47	$208.53	$183.05	3
South Dakota	39	$141.05	$115.05	2
Indiana	37	$261.94	$227.95	3
Louisiana	35	$151.12	$136.87	2
Kansas	31	$259.40	$219.80	2
Delaware	30	$474.22	$388.30	2
Mississippi	30	$96.09	$90.00	2
Arizona	27	$238.61	$186.14	2
Arkansas	27	$238.19	$205.92	2
Maryland	26	$756.28	$595.36	2
Utah	25	$212.29	$163.64	2
Kentucky	20	$40.59	$30.27	1
Nebraska	18	$777.80	$628.44	1
Oklahoma	18	$217.25	$192.22	1
Massachusetts	14	$233.87	$182.26	1
North Carolina	14	$197.67	$183.21	1
Colorado	13	$334.02	$261.79	1
Alabama	13	$237.18	$207.47	1
New York	12	$234.53	$194.48	1
Oregon	12	$281.93	$193.33	1
Rhode Island	12	$229.94	$179.71	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.