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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Tennessee 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?

$1,445

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $2,291 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 5 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$1,445$1,318 to $2,188
FacilityA hospital or hospital-owned outpatient department$2,291$1,950 to $19,055

How much rates vary

Facilitymedian $2,291 · 10th to 90th $1,288 to $19,055Professionalmedian $1,445 · 10th to 90th $1,288 to $2,570
$1K$2K$5K$10K$20Kfacility $2,291professional $1,445

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
$1,288.25
Median
$1,288.25
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,445.44
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,905.46
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$19,054.61
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$21,877.62
Typical High
$21,877.62
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,187.76
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$2,187.76

Where Tennessee 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.

Tennessee· 47th of 51

$1,445

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.