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Knee Arthroscopy, Body Removal or Chondroplasty

Washington 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 $158 · 10th–90th $81$7,9430%10%10th90th$158$100.0$500.0$2.0K$10.0K

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
$67.61
Median
$7,943.28
Typical High
$20,892.96
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$204.17
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$169.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$549.54
Typical High
$5,754.40