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Prosthetic Foot, Flexible Keel

Illinois rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Rates data updated July 2026.

How much does Prosthetic Foot, Flexible Keel cost?

$363

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $490 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$363$234 to $372
FacilityA hospital or hospital-owned outpatient department$490$234 to $871

How much rates vary

Facilitymedian $490 · 10th to 90th $234 to $2,455Professionalmedian $363 · 10th to 90th $224 to $490
$200$500$1K$2K$5Kfacility $490professional $363

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
$234.42
Median
$234.42
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$512.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$676.08
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
$616.60
Median
$616.60
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$416.87

Where Illinois sits

The same service costs 3.7 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· 14th of 51

$363

HI $741DE $200

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.