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Exchange Of One External Frame Strut

Pennsylvania 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 October 2026.

How much does Exchange Of One External Frame Strut cost?

$1,738

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $1,096 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$1,622 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,096$589 to $2,138

How much rates vary

Facilitymedian $1,096 · 10th to 90th $324 to $5,129Professionalmedian $1,738 · 10th to 90th $1,318 to $3,236
$1$10$100$1K$10Kfacility $1,096professional $1,738

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$4,073.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,258.93
Median
$1,288.25
Typical High
$1,513.56
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$6,025.60
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,659.59
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$1,122.02
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$3,890.45
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$3,311.31
Typical High
$3,311.31
Geisinger
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,862.09
Geisinger
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$2,187.76
Typical High
$3,162.28
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$3,801.89
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$1,995.26
Martin's Point
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,258.93
Median
$1,288.25
Typical High
$1,513.56
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,754.23
Typical High
$7,413.10
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$0.36
Median
$1,122.02
Typical High
$1,737.80
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,737.80
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$436.52
Typical High
$3,388.44
United
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$2,041.74
Typical High
$3,162.28

Where Pennsylvania sits

The same service costs 4.8 times more in Alaska than in Delaware. 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.

Pennsylvania· 46th of 51

$1,738

AK $7,244DE $1,514

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.