go back

Suction Socket, Below-Knee

South Dakota rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Rates data updated July 2026.

How much does Suction Socket, Below-Knee cost?

$1,096

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,175 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$1,096$794 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,175$813 to $1,413

How much rates vary

Facilitymedian $1,175 · 10th to 90th $724 to $2,291Professionalmedian $1,096 · 10th to 90th $724 to $1,380
$500$1K$2K$5Kfacility $1,175professional $1,096

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
$851.14
Median
$851.14
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,148.15
Avera
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,412.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,089.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$758.58
Typical High
$1,122.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93

Where South Dakota sits

The same service costs 3.8 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 Dakota· 3rd of 51

$1,096

HI $1,585NE $417

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.