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Utah rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$214

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $229 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$155 to $355
FacilityA hospital or hospital-owned outpatient department$229$112 to $347

How much rates vary

Facilitymedian $229 · 10th to 90th $112 to $347Professionalmedian $214 · 10th to 90th $112 to $1,995
$50$100$200$500$1K$2Kfacility $229professional $214

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
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$251.19
Typical High
$331.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$346.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$398.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$363.08
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$229.09
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$263.03

Where Utah sits

The same service costs 2.7 times more in Hawaii than in Delaware. 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.

Utah· 37th of 51

$214

HI $490DE $182

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.