CPT 27236 · professional fee

Treat thigh fracture (CPT 27236): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 27236, from their published in-network rate files.

Orthopedic surgerySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$1,918

P10 to P90: $1,232 to $3,365

vs Medicare

176%

non-facility rate $1,089.87

Payer spread

1.34×

UHC $2,101 vs Aetna $1,565

State spread

3.8×

AK $5,306 to CA $1,387

5,042 sampled providers6,121 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 27236 in the files analyzed, at $2,101, 34% above Aetna ($1,565), the lowest of the 4 payers shown.

The state spread is 3.8×: Alaska has the highest median at $5,306 and California the lowest at $1,387, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 176% of the Medicare non-facility rate ($1,089.87), which ranks 73rd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $742) and widest within UnitedHealthcare ($1,197).

This is a top-19 code for orthopedic surgery by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$2,101	$1,593	$2,790	+10%	1	4,263	193% of Medicare
Cigna	$1,958	$1,568	$2,568	+2%	2	4,049	180% of Medicare
Blue Cross Blue Shield	$1,937	$1,514	$2,438	+1%	3	3,935	178% of Medicare
Aetna	$1,565	$1,236	$1,978	-18%	4	2,673	144% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($1,089.87)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$5,306	+177%	Aetna	BCBS	65
2	Wisconsin	$3,103	+62%	BCBS	Aetna	97
3	Wyoming	$2,758	+44%	BCBS	UHC	65
4	South Dakota	$2,707	+41%	UHC	BCBS	97
5	Nebraska	$2,557	+33%	Cigna	BCBS	95
6	Washington	$2,556	+33%	UHC	BCBS	100
7	District of Columbia	$2,553	+33%	Aetna	BCBS	35
8	Connecticut	$2,549	+33%	UHC	Aetna	114
9	Iowa	$2,507	+31%	UHC	Aetna	104
10	New Jersey	$2,446	+27%	UHC	Aetna	96
11	North Dakota	$2,379	+24%	BCBS	Aetna	46
12	Oregon	$2,345	+22%	UHC	Aetna	90
13	Massachusetts	$2,299	+20%	UHC	Aetna	111
14	Mississippi	$2,298	+20%	Aetna	Cigna	112
15	Georgia	$2,187	+14%	UHC	BCBS	124
16	Tennessee	$2,158	+12%	Aetna	Cigna	114
17	North Carolina	$2,132	+11%	UHC	Aetna	128
18	Rhode Island	$2,121	+11%	UHC	Aetna	98
19	Minnesota	$2,093	+9%	UHC	Aetna	102
20	Vermont	$2,051	+7%	UHC	BCBS	35
21	Illinois	$2,016	+5%	UHC	BCBS	104
22	Idaho	$2,013	+5%	Aetna	UHC	120
23	Maryland	$1,957	+2%	Cigna	BCBS	105
24	Colorado	$1,957	+2%	UHC	Aetna	103
25	New Hampshire	$1,918	+0%	Cigna	Aetna	118
25	Alabama	$1,918	+0%	BCBS	Cigna	118
27	Montana	$1,892	-1%	UHC	BCBS	79
28	Arkansas	$1,869	-3%	Cigna	Aetna	119
29	Kansas	$1,844	-4%	Cigna	Aetna	107
30	South Carolina	$1,830	-5%	UHC	Aetna	106
31	New Mexico	$1,804	-6%	UHC	BCBS	105
32	New York	$1,796	-6%	Cigna	Aetna	110
33	Virginia	$1,765	-8%	UHC	BCBS	105
34	Pennsylvania	$1,721	-10%	UHC	Aetna	103
35	Michigan	$1,711	-11%	BCBS	UHC	102
36	Delaware	$1,710	-11%	Cigna	UHC	59
37	Ohio	$1,706	-11%	UHC	BCBS	110
38	Utah	$1,702	-11%	UHC	BCBS	96
39	West Virginia	$1,690	-12%	UHC	Aetna	88
40	Louisiana	$1,687	-12%	BCBS	Aetna	103
41	Maine	$1,668	-13%	UHC	Aetna	93
42	Arizona	$1,667	-13%	UHC	Aetna	99
43	Kentucky	$1,664	-13%	UHC	Aetna	124
44	Missouri	$1,641	-14%	UHC	Aetna	112
45	Nevada	$1,605	-16%	BCBS	Aetna	108
46	Indiana	$1,514	-21%	UHC	Aetna	115
47	Hawaii	$1,494	-22%	BCBS	UHC	67
48	Florida	$1,487	-22%	BCBS	Aetna	108
49	Oklahoma	$1,433	-25%	UHC	Aetna	100
50	Texas	$1,429	-25%	UHC	Aetna	121
51	California	$1,387	-28%	UHC	Aetna	107

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 27236?

In the files we analyzed, UnitedHealthcare, at a median of $2,101 across 4,263 sampled providers. Aetna is lowest at $1,565, 34% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 176% of the 2026 Medicare non-facility rate of $1,089.87.

Which state has the highest median for CPT 27236?

Alaska has the highest median at $5,306; California has the lowest at $1,387.

Is this the surgeon, physician or facility payment?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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