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Above-Knee Pelvic Control Belt, Light

Illinois rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Rates data updated July 2026.

How much does Above-Knee Pelvic Control Belt, Light cost?

$95.50

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $162 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$93.33$79.43 to $158
FacilityA hospital or hospital-owned outpatient department$162$79.43 to $288

How much rates vary

Facilitymedian $162 · 10th to 90th $79 to $813Professionalmedian $93 · 10th to 90th $72 to $186
$100$200$500$1Kfacility $162professional $93

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
$79.43
Median
$79.43
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$186.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$257.04
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$141.25

Where Illinois sits

The same service costs 4.0 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.

Illinois· 32nd of 51

$95.50

HI $295DE $74.13

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.