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

Missouri 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?

$186

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $251 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$170$151 to $224
FacilityA hospital or hospital-owned outpatient department$251$204 to $309

How much rates vary

Facilitymedian $251 · 10th to 90th $138 to $575Professionalmedian $170 · 10th to 90th $138 to $363
$1.0$10.0$100.0$1.0Kfacility $251professional $170

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
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$1,621.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$169.82
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$239.88
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$239.88

Where Missouri 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.

Missouri $186 · 23rd 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.