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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Idaho rates for HCPCS L5613

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

Rates data updated July 2026.

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

$2,455

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $2,818 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 8 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$2,455$1,778 to $3,162
FacilityA hospital or hospital-owned outpatient department$2,818$2,239 to $3,020

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,862 to $3,890Professionalmedian $2,455 · 10th to 90th $1,380 to $3,311
$1K$2K$5Kfacility $2,818professional $2,455

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
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,905.46
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,905.46
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,454.71
Typical High
$3,801.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,818.38
Typical High
$3,019.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$2,570.40
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,884.03
Typical High
$2,884.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$3,311.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,090.30
Typical High
$4,570.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2,187.76
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,479.11
Typical High
$2,238.72

Where Idaho sits

The same service costs 3.5 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.

Idaho· 14th of 51

$2,455

HI $4,571NE $1,318

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.