go back

Knee Joints, Polycentric, Below-Knee

Alaska rates for HCPCS L5677

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

Rates data updated October 2026.

How much does Knee Joints, Polycentric, Below-Knee cost?

$955

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $871 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$955$501 to $977
FacilityA hospital or hospital-owned outpatient department$871$398 to $955

How much rates vary

Facilitymedian $871 · 10th to 90th $398 to $1,023Professionalmedian $955 · 10th to 90th $380 to $1,023
$100$200$500$1K$2Kfacility $871professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$1,174.90
Moda Health
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$954.99
Typical High
$1,258.93
Moda Health
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$954.99
Typical High
$1,023.29
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$1,023.29
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$977.24
Typical High
$1,000.00
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$831.76
Median
$977.24
Typical High
$977.24
Providence
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$398.11
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$398.11
Typical High
$1,174.90
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$501.19
Typical High
$1,621.81

Where Alaska sits

The same service costs 3.7 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.

Alaska· 2nd of 51

$955

HI $1,096DE $295

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.