go back

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

New Jersey rates for HCPCS L5811

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

Rates data updated July 2026.

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

$457

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $331 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 5 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$457$380 to $724
FacilityA hospital or hospital-owned outpatient department$331$324 to $661

How much rates vary

Facilitymedian $331 · 10th to 90th $324 to $891Professionalmedian $457 · 10th to 90th $339 to $871
$500$1K$2K$5Kfacility $331professional $457

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
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$616.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,174.90
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$870.96

Where New Jersey sits

The same service costs 4.3 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 Jersey· 46th of 51

$457

HI $1,660DE $389

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.