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Knee Arthroscopy, Body Removal or Chondroplasty

North Carolina 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 $123 · 10th–90th $76$6,4570%10%10th90th$123Professionalmedian $145 · 10th–90th $145$1450%50%100%$145$10.0$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$1,659.59
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$891.25
Typical High
$2,089.30
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$52.48
Median
$52.48
Typical High
$52.48