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

New Jersey 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?

$166

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $105 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 5 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$166$123 to $240
FacilityA hospital or hospital-owned outpatient department$105$102 to $209

How much rates vary

Facilitymedian $105 · 10th to 90th $102 to $288Professionalmedian $166 · 10th to 90th $110 to $282
$100.0$200.0$500.0$1.0Kfacility $105professional $166

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
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$173.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$371.54
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$281.84

Where New Jersey 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.

New Jersey $166 · 41st 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.