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Endoskeletal Below-Knee System, Ultra-Light

Illinois rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Rates data updated July 2026.

How much does Endoskeletal Below-Knee System, Ultra-Light cost?

$468

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $617 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 7 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$468$295 to $490
FacilityA hospital or hospital-owned outpatient department$617$295 to $1,072

How much rates vary

Facilitymedian $617 · 10th to 90th $295 to $3,090Professionalmedian $468 · 10th to 90th $295 to $617
$200$500$1K$2K$5Kfacility $617professional $468

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
$295.12
Median
$295.12
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,174.90
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$691.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$870.96
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
$776.25
Median
$776.25
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$524.81

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· 15th of 51

$468

HI $708DE $269

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.