go back

Prosthetic Knee, Polycentric, Hydraulic Swing Control

North Dakota 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?

$4,169

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $3,311 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$4,266$3,311 to $5,012
FacilityA hospital or hospital-owned outpatient department$3,311$3,311 to $3,715

How much rates vary

Facilitymedian $3,311 · 10th to 90th $3,311 to $5,623Professionalmedian $4,266 · 10th to 90th $2,399 to $5,495
$2K$5K$10K$20Kfacility $3,311professional $4,266

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
$3,311.31
Median
$3,311.31
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,311.31
Typical High
$16,595.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,011.87
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$5,248.07
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,715.35
Typical High
$10,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,090.30
Typical High
$5,248.07

Where North Dakota 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 Dakota· 5th of 51

$4,169

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.