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Prosthetic Knee, Endoskeletal Four-Bar, Friction Swing

South Carolina rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Rates data updated July 2026.

How much does Prosthetic Knee, Endoskeletal Four-Bar, Friction Swing cost?

$1,072

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,288 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$1,023$871 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,288$871 to $1,862

How much rates vary

Facilitymedian $1,288 · 10th to 90th $871 to $2,630Professionalmedian $1,023 · 10th to 90th $851 to $1,445
$1K$2Kfacility $1,288professional $1,023

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
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,445.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,862.09
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,479.11
Typical High
$3,235.94
Medcost
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$1,479.11

Where South Carolina sits

The same service costs 3.2 times more in Hawaii than in Nebraska. 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· 39th of 51

$1,072

HI $2,754NE $851

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.