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Knee Joints, Polycentric, Below-Knee

Pennsylvania 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?

$295

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $813 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 9 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$295$263 to $407
FacilityA hospital or hospital-owned outpatient department$813$263 to $1,023

How much rates vary

Facilitymedian $813 · 10th to 90th $263 to $1,905Professionalmedian $295 · 10th to 90th $245 to $562
$200$1K$5K$20Kfacility $813professional $295

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
$263.03
Median
$263.03
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$537.03
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,148.15
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$602.56
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$1,023.29
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$537.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,318.26
Typical High
$2,290.87
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$562.34
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$616.60

Where Pennsylvania 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.

Pennsylvania· 49th of 51

$295

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.