go back

Prosthetic Knee, Polycentric, Hydraulic Swing Control

Illinois rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Rates data updated October 2026.

How much does Prosthetic Knee, Polycentric, Hydraulic Swing Control cost?

$3,467

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $6,166 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,467$2,239 to $3,631
FacilityA hospital or hospital-owned outpatient department$6,166$5,248 to $11,220

How much rates vary

Facilitymedian $6,166 · 10th to 90th $2,512 to $26,303Professionalmedian $3,467 · 10th to 90th $1,995 to $5,248
$2K$5K$10K$20K$50Kfacility $6,166professional $3,467

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
$2,238.72
Median
$2,238.72
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$446.68
Median
$446.68
Typical High
$724.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$331.13
Median
$331.13
Typical High
$549.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$223.87
Median
$223.87
Typical High
$363.08
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$7,585.78
Typical High
$30,902.95
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,511.89
Hally Health
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,897.79
Typical High
$6,456.54
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,238.72
Typical High
$5,248.07

Where Illinois sits

The same service costs 2.6 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· 16th of 51

$3,467

HI $4,786DE $1,820

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.