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Knee Joints, Single Axis, Below-Knee

Maine rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Rates data updated July 2026.

How much does Knee Joints, Single Axis, Below-Knee cost?

$324

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $589 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 6 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$324$263 to $501
FacilityA hospital or hospital-owned outpatient department$589$347 to $676

How much rates vary

Facilitymedian $589 · 10th to 90th $269 to $724Professionalmedian $324 · 10th to 90th $251 to $501
$200.0$500.0$1.0K$2.0Kfacility $589professional $324

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$269.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$602.56
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$269.15
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$288.40
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$478.63
Typical High
$501.19

Where Maine sits

The same service costs 3.4 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $324 · 16th of 51
HI $661DE $195

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.