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All Lower Extremity Prostheses, Foot, Single Axis Ankle/Foot

Illinois rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Rates data updated July 2026.

How much does All Lower Extremity Prostheses, Foot, Single Axis Ankle/Foot cost?

$158

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $288 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$158$138 to $257
FacilityA hospital or hospital-owned outpatient department$288$138 to $501

How much rates vary

Facilitymedian $288 · 10th to 90th $138 to $1,445Professionalmedian $158 · 10th to 90th $129 to $316
$1.0$10.0$100.0$1.0Kfacility $288professional $158

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
$138.04
Median
$138.04
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$218.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$426.58
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
$363.08
Median
$363.08
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$251.19

Where Illinois sits

The same service costs 3.8 times more in Hawaii than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $158 · 45th of 51
HI $525TN $138

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.