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Knee Arthroscopy, Body Removal or Chondroplasty

Pennsylvania 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.

How much does Knee Arthroscopy, Body Removal or Chondroplasty cost?

$5,495

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,495 for this service. Most negotiated rates run $2,818 to $8,318.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $537 to $10,233
$100$200$500$1K$2K$5K$10Kfacility $5,495

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
$588.84
Median
$6,606.93
Typical High
$10,232.93
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
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
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$5,370.32
Typical High
$10,232.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,801.89
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$630.96
Typical High
$4,466.84

Where Pennsylvania sits

The same service costs 177.8 times more in California than in Maryland. 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· 7th of 49

$5,495

CA $9,120MD $51.29

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.