go back

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 October 2026.

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

$148

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $174 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$123 to $288
FacilityA hospital or hospital-owned outpatient department$174$174 to $229

How much rates vary

Facilitymedian $174 · 10th to 90th $162 to $288Professionalmedian $148 · 10th to 90th $102 to $288
$100$200facility $174professional $148

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$109.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$158.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$51.29
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$20.42
Typical High
$31.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.49
Median
$15.49
Typical High
$23.99
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.23
Median
$10.23
Typical High
$15.85
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$173.78
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$371.54
Typical High
$371.54
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$229.09
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$165.96
Typical High
$281.84

Where New Jersey sits

The same service costs 4.0 times more in Hawaii than in Florida. 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.

New Jersey· 48th of 51

$148

HI $525FL $132

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.