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Knee Joints, Polycentric, Below-Knee

South Dakota 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?

$589

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $832 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$589$447 to $692
FacilityA hospital or hospital-owned outpatient department$832$575 to $977

How much rates vary

Facilitymedian $832 · 10th to 90th $437 to $1,585Professionalmedian $589 · 10th to 90th $295 to $776
$500$1K$2Kfacility $832professional $589

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
$426.58
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$776.25
Typical High
$954.99
Medica
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$977.24
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$446.68
Typical High
$4,365.16
Midlands
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Midlands
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Midlands
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$1,071.52
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$588.84
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$398.11
Typical High
$489.78
Wellmark
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96

Where South Dakota 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.

South Dakota· 8th of 51

$589

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.