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Above-Knee Pelvic Control Belt, Light

Tennessee rates for HCPCS L5692

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

Rates data updated October 2026.

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

$95.50

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $100 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$72.44 to $123
FacilityA hospital or hospital-owned outpatient department$100$100 to $102

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $107Professionalmedian $85 · 10th to 90th $68 to $1,202
$100$200$500$1Kfacility $100professional $85

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$69.18
Typical High
$91.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$34.67
Typical High
$43.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.80
Typical High
$17.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.23
Median
$10.47
Typical High
$13.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.76
Median
$6.92
Typical High
$8.71
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$107.15
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$77.62
Typical High
$120.23

Where Tennessee sits

The same service costs 4.1 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· 36th of 51

$95.50

HI $295DE $72.44

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.