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Joint Covers, Below-Knee

South Carolina 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?

$26.92

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $31.62 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$25.12$21.38 to $35.48
FacilityA hospital or hospital-owned outpatient department$31.62$21.38 to $47.86

How much rates vary

Facilitymedian $32 · 10th to 90th $21 to $65Professionalmedian $25 · 10th to 90th $21 to $37
$20$50$100facility $32professional $25

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
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.44
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$29.51
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$54.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$31.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$39.81
Typical High
$77.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.99
Typical High
$35.48

Where South Carolina 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.

South Carolina· 37th of 51

$26.92

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.