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Prosthetic Knee, Polycentric, Hydraulic Swing Control

North Carolina rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Rates data updated July 2026.

How much does Prosthetic Knee, Polycentric, Hydraulic Swing Control cost?

$3,388

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $3,388 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$3,388$2,344 to $3,467
FacilityA hospital or hospital-owned outpatient department$3,388$2,818 to $4,571

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,995 to $7,586Professionalmedian $3,388 · 10th to 90th $1,950 to $3,467
$2K$5K$10K$20Kfacility $3,388professional $3,388

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
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,388.44
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,511.89
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,818.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,238.72
Typical High
$2,951.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,630.78
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,162.28
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,238.72
Typical High
$3,162.28
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$33,113.11

Where North Carolina sits

The same service costs 2.5 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.

North Carolina· 14th of 51

$3,388

HI $4,786DE $1,950

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.