go back

Joint Covers, Below-Knee

Utah 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?

$31.62

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $29.51 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$33.88$21.88 to $61.66
FacilityA hospital or hospital-owned outpatient department$29.51$15.49 to $61.66

How much rates vary

Facilitymedian $30 · 10th to 90th $15 to $62Professionalmedian $34 · 10th to 90th $15 to $275
$20$50$100$200facility $30professional $34

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
$15.49
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$27.54
Typical High
$275.42
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
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$58.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$61.66
Typical High
$61.66
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$63.10
Select Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$60.26
Typical High
$63.10
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$63.10
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$31.62
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.99
Typical High
$36.31

Where Utah 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.

Utah· 24th of 51

$31.62

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.