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Prosthetic Knee, Endoskeletal Four-Bar, Friction Swing

South Dakota 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?

$2,239

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $2,344 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$2,239$1,738 to $2,512
FacilityA hospital or hospital-owned outpatient department$2,344$1,622 to $2,754

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,445 to $5,012Professionalmedian $2,239 · 10th to 90th $1,479 to $2,818
$1.0K$2.0K$5.0K$10.0Kfacility $2,344professional $2,239

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,737.80
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,818.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,511.89
Typical High
$6,918.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$12,882.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$2,454.71
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$4,570.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,445.44
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,621.81
Typical High
$2,290.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72

Where South Dakota sits

The same service costs 3.2 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $2,239 · 3rd of 51
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.