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Knee Joints, Polycentric, Below-Knee

Michigan 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?

$525

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $955 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$513$380 to $661
FacilityA hospital or hospital-owned outpatient department$955$398 to $1,905

How much rates vary

Facilitymedian $955 · 10th to 90th $398 to $2,884Professionalmedian $513 · 10th to 90th $316 to $676
$500$1K$2K$5Kfacility $955professional $513

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$660.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$660.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$190.55
Typical High
$331.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$75.86
Median
$75.86
Typical High
$131.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$57.54
Median
$57.54
Typical High
$100.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.02
Median
$38.02
Typical High
$66.07
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,949.84
Typical High
$3,715.35
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$660.69
Typical High
$660.69
CareSource
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$398.11
Typical High
$660.69
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$1,288.25
Typical High
$1,412.54
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$524.81
Typical High
$676.08
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Priority Health
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Priority Health
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$512.86
Typical High
$660.69
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$812.83
United
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$316.23
Typical High
$457.09

Where Michigan 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.

Michigan· 14th of 51

$525

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.