What does Aetna pay for a total knee replacement (27447) in Texas in 2026?

Aetna's published rate for 27447 across 458 confirmed orthopedic surgeons in Texas has a median of $743.7, 128.2 percent of locality-adjusted Medicare, as of the September 2026 file.

Data as of the September 2026 payer files.

CPT 27447 is a total knee arthroplasty. The rates below are what Aetna publishes in its Transparency in Coverage files for surgeons who the CMS Medicare utilization file confirms actually bill the code, so a rate a surgeon never bills cannot inflate the number. A metro appears only where at least five surgeons clear that filter.

Across 1 procedure code and 1 payer, the median published rate is 47 percent of locality-adjusted Medicare in the September 2026 payer files. Aetna is the only payer with enough confirmed NPIs to publish here, at 47 percent of Medicare, so there is no spread to compare yet. The best-covered row rests on 458 confirmed NPIs, and any combination under five is withheld rather than shown thin. These are contracted amounts the payer published, not what a practice was paid, and every row clears the ghost-rate filter, so each NPI counted here actually billed the code in the Medicare utilization file.

How this is measured

Rates come from each payer's published Transparency in Coverage machine-readable file, filtered to NPIs the CMS Medicare utilization file shows billing that code. Percentiles are computed per payer, code and site of service across those NPIs, then divided by the locality-adjusted Medicare amount for the same code and place. Full methodology.

Questions

Keep reading

• Aetna rates for 27447
• Orthopedics in Texas
• Texas rates CSV (CC BY 4.0)
• How these numbers are built