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Exchange Of One External Frame Strut

New York rates for HCPCS 20697

Replaces a single strut on an external frame that is already in place. Imaging is included, and the adjustment is computer-assisted. The charge applies once for each strut exchanged.

Rates data updated July 2026.

How much does Exchange Of One External Frame Strut cost?

$2,692

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $4,467 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,188$1,862 to $3,236
FacilityA hospital or hospital-owned outpatient department$4,467$2,818 to $6,457

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,995 to $9,120Professionalmedian $2,188 · 10th to 90th $1,660 to $5,623
$1K$2K$5K$10Kfacility $4,467professional $2,188

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,365.16
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,995.26
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$5,011.87
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,388.44
Typical High
$13,803.84
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,818.38
Typical High
$8,317.64
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,290.87
Typical High
$5,128.61
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$3,981.07
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,344.23
Typical High
$3,715.35
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,162.28
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,570.40
Typical High
$8,511.38
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.40
Median
$1,548.82
Typical High
$2,089.30
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,089.30
Typical High
$4,466.84

Where New York sits

The same service costs 3.8 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 17th of 51

$2,692

CA $6,310KY $1,660

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.