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Below-Knee Back Check, Extension Control

Pennsylvania 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?

$38.02

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $83.18 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 9 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$37.15$33.11 to $46.77
FacilityA hospital or hospital-owned outpatient department$83.18$34.67 to $135

How much rates vary

Facilitymedian $83 · 10th to 90th $35 to $251Professionalmedian $37 · 10th to 90th $30 to $68
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $83professional $37

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
$34.67
Median
$34.67
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$37.15
Typical High
$51.29
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
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
$44.67
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$158.49
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$79.43
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$134.90
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$57.54
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$186.21
Typical High
$302.00
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$66.07
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$81.28

Where Pennsylvania 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.

Pennsylvania $38.02 · 32nd 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.