go back

All Lower Extremity Prostheses, Flex-Foot System

New York rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Rates data updated July 2026.

How much does All Lower Extremity Prostheses, Flex-Foot System cost?

$2,754

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $3,631 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$2,754$2,692 to $3,890
FacilityA hospital or hospital-owned outpatient department$3,631$2,951 to $6,026

How much rates vary

Facilitymedian $3,631 · 10th to 90th $2,188 to $8,913Professionalmedian $2,754 · 10th to 90th $2,042 to $7,943
$2K$5K$10K$20K$50Kfacility $3,631professional $2,754

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
$2,137.96
Median
$2,570.40
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,511.89
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,754.23
Typical High
$8,317.64
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,897.79
Typical High
$4,897.79
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,951.21
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$9,772.37
Typical High
$22,908.68
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$6,309.57
Typical High
$11,220.18
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,715.35
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,715.35
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,311.31
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,715.35
Typical High
$9,549.93
Univera
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,715.35
Univera
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,715.35

Where New York sits

The same service costs 2.9 times more in Hawaii than in Delaware. 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 York· 24th of 51

$2,754

HI $5,754DE $1,995

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.