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Joint Covers, Below-Knee

Illinois 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?

$28.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $48.98 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 6 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$27.54$23.44 to $45.71
FacilityA hospital or hospital-owned outpatient department$48.98$23.44 to $87.10

How much rates vary

Facilitymedian $49 · 10th to 90th $23 to $245Professionalmedian $28 · 10th to 90th $22 to $55
$20$50$100$200$500facility $49professional $28

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
$23.44
Median
$23.44
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.12
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$53.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$74.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$38.90
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$41.69

Where Illinois 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.

Illinois· 35th of 51

$28.18

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.