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Knee Arthroscopy, Body Removal or Chondroplasty

Ohio 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 $5,129 · 10th–90th $105$12,5890%10%10th90th$5,129$10.0$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
$81.28
Median
$8,912.51
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,023.29
Typical High
$2,951.21