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Joint Covers, Below-Knee

Colorado rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Rates data updated July 2026.

How much does Joint Covers, Below-Knee cost?

$30.90

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $43.65 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$28.84$23.44 to $30.90
FacilityA hospital or hospital-owned outpatient department$43.65$30.90 to $63.10

How much rates vary

Facilitymedian $44 · 10th to 90th $15 to $74Professionalmedian $29 · 10th to 90th $21 to $46
$20$50$100$200facility $44professional $29

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
$30.90
Median
$30.90
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$30.90
Typical High
$41.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.84
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$50.12
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$43.65
Typical High
$74.13
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$63.10
Typical High
$109.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$131.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$63.10
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$36.31
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$23.99
Typical High
$36.31

Where Colorado sits

The same service costs 5.0 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.

Colorado· 25th of 51

$30.90

HI $107DE $21.38

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.