Hello,
I assume you belong to unreserved category.
As you mentioned with UR category and  486 marks, your chances of getting a decent government college in your state through state quota(85%) are quite low except one or two colleges like-

• Dr. Ram Manohar Lohiya Medical Institute, Lucknow-previous cutoff 469
• U.P. Rural Institute of Medical Sciences & Research, Etawah-492

However you might get some good private medical college in your state through state quota.
As the admission to medical colleges based on NEET is given unsed All India Quota(15%) and state quota(85%).
However cutoffs change every year depending upon level of toughness of exam. So hope for the best and follow the counselling process.
Follow this link to better predict your college-
https://medicine.careers360.com/neet-college-predictor
Good luck

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