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 July 2026.

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

$3,388

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $4,571 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$3,020$2,239 to $3,548
FacilityA hospital or hospital-owned outpatient department$4,571$2,239 to $8,128

How much rates vary

Facilitymedian $4,571 · 10th to 90th $2,239 to $22,909Professionalmedian $3,020 · 10th to 90th $2,042 to $4,571
$2K$5K$10K$20K$50Kfacility $4,571professional $3,020

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
$2,238.72
Median
$2,238.72
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,238.72
Typical High
$4,570.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$8,709.64
Typical High
$30,902.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$4,897.79
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,128.61
Typical High
$6,456.54
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
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,630.78
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$3,801.89

Where Illinois sits

The same service costs 2.5 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· 15th of 51

$3,388

HI $4,786DE $1,950

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.