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

New York 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?

$178

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $178 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 9 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$178$158 to $224
FacilityA hospital or hospital-owned outpatient department$178$123 to $288

How much rates vary

Facilitymedian $178 · 10th to 90th $112 to $447Professionalmedian $178 · 10th to 90th $120 to $398
$1.0$10.0$100.0$1.0K$10.0Kfacility $178professional $178

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
$173.78
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$575.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$177.83
Typical High
$446.68
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$234.42
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$1,096.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$537.03
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$117.49
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$177.83
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$457.09
Univera
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$169.82
Univera
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$177.83

Where New York 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 York $178 · 30th 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.