go back

Below-Knee Suspension/Sealing Sleeve

South Carolina rates for HCPCS L5685

Addition to lower extremity prosthesis, below knee (BK), suspension/sealing sleeve, with or without valve, any material, each

Rates data updated July 2026.

How much does Below-Knee Suspension/Sealing Sleeve cost?

$81.28

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $100 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 7 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$77.62$69.18 to $115
FacilityA hospital or hospital-owned outpatient department$100$69.18 to $145

How much rates vary

Facilitymedian $100 · 10th to 90th $69 to $191Professionalmedian $78 · 10th to 90th $66 to $120
$50$100$200facility $100professional $78

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
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$245.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$107.15

Where South Carolina sits

The same service costs 2.3 times more in Wisconsin 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

$81.28

WI $158NE $67.61

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.