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Knee Joints, Polycentric, Below-Knee

Ohio 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?

$363

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $692 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 8 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$355$324 to $479
FacilityA hospital or hospital-owned outpatient department$692$537 to $776

How much rates vary

Facilitymedian $692 · 10th to 90th $324 to $1,148Professionalmedian $355 · 10th to 90th $288 to $708
$200$500$1K$2Kfacility $692professional $355

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
$323.59
Median
$323.59
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$891.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$707.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$512.86
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$588.84
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$457.09

Where Ohio 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.

Ohio· 34th of 51

$363

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.