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

Pennsylvania 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?

$174

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $447 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$174$148 to $204
FacilityA hospital or hospital-owned outpatient department$447$158 to $759

How much rates vary

Facilitymedian $447 · 10th to 90th $158 to $1,259Professionalmedian $174 · 10th to 90th $120 to $295
$1.0$10.0$100.0$1.0K$10.0Kfacility $447professional $174

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
$158.49
Median
$158.49
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$239.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
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
$177.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$537.03
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$363.08
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$616.60
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$239.88
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$851.14
Typical High
$1,380.38
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$380.19
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$323.59

Where Pennsylvania 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.

Pennsylvania $174 · 33rd 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.