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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

North Carolina rates for HCPCS L5613

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with hydraulic swing phase control

Rates data updated July 2026.

How much does Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing cost?

$2,239

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $2,344 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 6 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$2,239$1,585 to $2,291
FacilityA hospital or hospital-owned outpatient department$2,344$1,950 to $3,236

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,349 to $5,754Professionalmedian $2,239 · 10th to 90th $1,318 to $2,291
$1K$2K$5K$10Kfacility $2,344professional $2,239

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
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,238.72
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,466.84
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,344.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,949.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,454.71
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,344.23
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,513.56
Typical High
$2,238.72
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$15,848.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$21,877.62

Where North Carolina sits

The same service costs 3.5 times more in Hawaii than in Nebraska. 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.

North Carolina· 17th of 51

$2,239

HI $4,571NE $1,318

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.