go back

Endoskeletal Below-Knee System, Ultra-Light

Kentucky 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?

$302

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $398 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$302$295 to $363
FacilityA hospital or hospital-owned outpatient department$398$288 to $646

How much rates vary

Facilitymedian $398 · 10th to 90th $288 to $933Professionalmedian $302 · 10th to 90th $263 to $490
$200$500$1K$2Kfacility $398professional $302

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
$288.40
Median
$288.40
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$389.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$812.83
Typical High
$1,047.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$933.25
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$3,388.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$467.74

Where Kentucky 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.

Kentucky· 46th of 51

$302

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.