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

Ohio 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?

$170

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $295 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 8 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$162$138 to $209
FacilityA hospital or hospital-owned outpatient department$295$229 to $331

How much rates vary

Facilitymedian $295 · 10th to 90th $141 to $490Professionalmedian $162 · 10th to 90th $129 to $302
$1.0$10.0$100.0$1.0Kfacility $295professional $162

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
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$371.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$338.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$194.98
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$181.97
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$309.03
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$316.23
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$213.80

Where Ohio 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.

Ohio $170 · 38th 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.