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Knee Arthroscopy, Body Removal or Chondroplasty

California rates for HCPCS G0289

Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

Rates data updated July 2026.

Facilitymedian $9,772 · 10th–90th $3,236$17,7830%10%10th90th$9,772Professionalmedian $89 · 10th–90th $68$1950%20%10th90th$89$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$8,128.31
Typical High
$20,417.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$208.93
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,621.81
Typical High
$6,760.83