go back

Joint Covers, Below-Knee

Michigan 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?

$28.84

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $64.57 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$25.12 to $47.86
FacilityA hospital or hospital-owned outpatient department$64.57$29.51 to $126

How much rates vary

Facilitymedian $65 · 10th to 90th $27 to $191Professionalmedian $29 · 10th to 90th $23 to $48
$1$10$100facility $65professional $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
$26.92
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$144.54
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$47.86
Typical High
$50.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
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
$29.51
Typical High
$58.88
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$91.20
Typical High
$102.33
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$38.02
Typical High
$58.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$39.81
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$38.90
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.99
Typical High
$36.31

Where Michigan 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.

Michigan· 29th of 51

$28.84

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.