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Tennessee rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$195

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $263 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$174$151 to $257
FacilityA hospital or hospital-owned outpatient department$263$229 to $2,239

How much rates vary

Facilitymedian $263 · 10th to 90th $148 to $2,239Professionalmedian $174 · 10th to 90th $148 to $295
$50$100$200$500$1K$2Kfacility $263professional $174

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
$147.91
Median
$147.91
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$234.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$263.03

Where Tennessee sits

The same service costs 2.7 times more in Hawaii than in Delaware. 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· 48th of 51

$195

HI $490DE $182

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.