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Joint Covers, Below-Knee

Idaho 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?

$44.67

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $53.70 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 8 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$43.65$28.84 to $54.95
FacilityA hospital or hospital-owned outpatient department$53.70$41.69 to $57.54

How much rates vary

Facilitymedian $54 · 10th to 90th $30 to $76Professionalmedian $44 · 10th to 90th $22 to $63
$20$50$100$200$500facility $54professional $44

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
Professional
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$52.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$47.86
Typical High
$64.57
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$57.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$48.98
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$54.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$63.10
Select Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$87.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$0.04
Median
$35.48
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$23.99
Typical High
$36.31

Where Idaho 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.

Idaho· 10th of 51

$44.67

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.