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Knee Joints, Polycentric, Below-Knee

Utah 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?

$372

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $398 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 7 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$363$269 to $603
FacilityA hospital or hospital-owned outpatient department$398$191 to $589

How much rates vary

Facilitymedian $398 · 10th to 90th $191 to $589Professionalmedian $363 · 10th to 90th $191 to $3,467
$200$500$1K$2Kfacility $398professional $363

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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$436.52
Typical High
$562.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$588.84
Typical High
$588.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$724.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$660.69
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$457.09

Where Utah 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.

Utah· 30th of 51

$372

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.