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

South Dakota 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?

$1,072

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $977 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 7 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$1,072$741 to $1,122
FacilityA hospital or hospital-owned outpatient department$977$794 to $1,349

How much rates vary

Facilitymedian $977 · 10th to 90th $661 to $2,239Professionalmedian $1,072 · 10th to 90th $708 to $1,380
$500.0$1.0K$2.0K$5.0Kfacility $977professional $1,072

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,023.29
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$2,041.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$724.44
Typical High
$1,122.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01

Where South Dakota sits

The same service costs 4.3 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $1,072 · 2nd of 51
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.