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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Illinois rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Rates data updated July 2026.

How much does Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing cost?

$3,467

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $4,786 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$3,311$2,344 to $3,802
FacilityA hospital or hospital-owned outpatient department$4,786$2,344 to $8,511

How much rates vary

Facilitymedian $4,786 · 10th to 90th $2,344 to $24,547Professionalmedian $3,311 · 10th to 90th $1,995 to $4,786
$10.0$100.0$1.0K$10.0Kfacility $4,786professional $3,311

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
$2,344.23
Median
$2,344.23
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$4,786.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$9,120.11
Typical High
$32,359.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,388.44
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$5,495.41
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,011.87
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
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,344.23
Typical High
$3,890.45

Where Illinois sits

The same service costs 2.6 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $3,467 · 13th of 51
HI $4,786NE $1,862

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.