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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

South Carolina 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?

$1,698

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $1,950 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$1,585$1,349 to $2,239
FacilityA hospital or hospital-owned outpatient department$1,950$1,349 to $2,818

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,349 to $4,074Professionalmedian $1,585 · 10th to 90th $1,288 to $2,239
$1K$2K$5Kfacility $1,950professional $1,585

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
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,445.44
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$3,388.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,778.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$4,897.79
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,187.76
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,238.72

Where South Carolina 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.

South Carolina· 37th of 51

$1,698

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.