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

South Dakota 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?

$275

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $282 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 7 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$275$234 to $324
FacilityA hospital or hospital-owned outpatient department$282$234 to $363

How much rates vary

Facilitymedian $282 · 10th to 90th $204 to $550Professionalmedian $275 · 10th to 90th $234 to $407
$100.0$200.0$500.0$1.0K$2.0Kfacility $282professional $275

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. 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
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$407.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$338.84
Midlands
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$512.86
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$213.80
Typical High
$331.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00

Where South Dakota 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.

South Dakota $275 · 8th 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.