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Knee Joints, Polycentric, Below-Knee

Tennessee 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?

$355

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $398 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$282 to $457
FacilityA hospital or hospital-owned outpatient department$398$398 to $398

How much rates vary

Facilitymedian $398 · 10th to 90th $398 to $398Professionalmedian $316 · 10th to 90th $251 to $4,467
$200$500$1K$2K$5Kfacility $398professional $316

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
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$257.04
Typical High
$346.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$125.89
Median
$128.82
Typical High
$173.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$50.12
Median
$51.29
Typical High
$69.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$38.02
Median
$38.90
Typical High
$51.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$25.12
Median
$25.70
Typical High
$34.67
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,570.88
Typical High
$4,570.88
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$288.40
Typical High
$446.68

Where Tennessee 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.

Tennessee· 40th of 51

$355

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.