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

New York 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?

$550

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $550 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$550$468 to $661
FacilityA hospital or hospital-owned outpatient department$550$380 to $912

How much rates vary

Facilitymedian $550 · 10th to 90th $331 to $1,380Professionalmedian $550 · 10th to 90th $372 to $1,259
$500$1K$2K$5K$10K$20K$50Kfacility $550professional $550

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
$426.58
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$549.54
Typical High
$1,412.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$724.44
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$660.69
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$3,467.37
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$933.25
Typical High
$1,698.24
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$346.74
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$562.34
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$588.84
Typical High
$1,445.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$524.81
Univera
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$562.34

Where New York 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 York· 27th of 51

$550

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.