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Below-Knee Back Check, Extension Control

Georgia rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Rates data updated July 2026.

How much does Below-Knee Back Check, Extension Control cost?

$38.90

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $63.10 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$38.90$30.90 to $51.29
FacilityA hospital or hospital-owned outpatient department$63.10$36.31 to $97.72

How much rates vary

Facilitymedian $63 · 10th to 90th $26 to $229Professionalmedian $39 · 10th to 90th $26 to $62
$0.1$1.0$10.0$100.0facility $63professional $39

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
$25.70
Median
$25.70
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$34.67
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$147.91
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$51.29
Typical High
$83.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$81.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$45.71
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$30.90
Typical High
$60.26

Where Georgia sits

The same service costs 2.6 times more in Hawaii than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $38.90 · 30th of 51
HI $81.28OK $31.62

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.