go back

Knee Joints, Polycentric, Below-Knee

Montana rates for HCPCS L5677

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

Rates data updated July 2026.

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

$575

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $575 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$501$355 to $617
FacilityA hospital or hospital-owned outpatient department$575$490 to $617

How much rates vary

Facilitymedian $575 · 10th to 90th $407 to $851Professionalmedian $501 · 10th to 90th $191 to $1,122
$100$200$500$1K$2Kfacility $575professional $501

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
Professional
Modifier
Global
Typical Low
$190.55
Median
$501.19
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$616.60
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$1,122.02
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$1,122.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$588.84
Typical High
$912.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$467.74
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$457.09

Where Montana sits

The same service costs 4.2 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.

Montana· 5th of 51

$575

HI $1,096DE $263

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.