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Endoskeletal Knee, Single Axis, Manual Lock, Ultra-Light

Montana rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Rates data updated October 2026.

How much does Endoskeletal Knee, Single Axis, Manual Lock, Ultra-Light cost?

$1,148

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,202 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,096$501 to $1,202
FacilityA hospital or hospital-owned outpatient department$1,202$1,148 to $66,069

How much rates vary

Facilitymedian $1,202 · 10th to 90th $741 to $67,608Professionalmedian $1,096 · 10th to 90th $79 to $1,259
$100$1K$10Kfacility $1,202professional $1,096

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$741.31
Typical High
$1,000.00
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,202.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,445.44
Typical High
$67,608.30
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,258.93
Typical High
$70,794.58
Providence
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$1,202.26
Typical High
$1,202.26
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$891.25
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$436.52
Typical High
$724.44

Where Montana sits

The same service costs 3.7 times more in Hawaii than in Tennessee. 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.

Montana· 3rd of 51

$1,148

HI $1,660TN $447

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.