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Below-Knee Amputation With Immediate Cast

California rates for HCPCS 27881

Removes the leg through the two bones of the lower leg, below the knee, shaping a stump that can later carry an artificial limb. A rigid cast is applied straight away in the operating room to control swelling, protect the stump and allow early fitting of a prosthesis. Keeping the knee joint makes walking with an artificial limb considerably easier.

Rates data updated July 2026.

How much does Below-Knee Amputation With Immediate Cast cost?

$9,772

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $9,772 for this service. Most negotiated rates run $6,607 to $13,804.

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.

How much rates vary

Facilitymedian $10,471 · 10th to 90th $3,388 to $17,783Professionalmedian $891 · 10th to 90th $646 to $1,778
$100.0$1.0K$10.0Kfacility $10,471professional $891

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
$3,981.07
Median
$10,000.00
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$11,220.18
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$4,466.84
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$2,691.53
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,905.46
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$9,332.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$13,803.84
Typical High
$28,840.32

Where California sits

The same service costs 14.1 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $9,772 · 2nd of 50
IN $12,023ND $851

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.