go back

Prosthetic Knee, Polycentric, Mechanical Stance Lock

Georgia rates for HCPCS L5816

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

Rates data updated July 2026.

How much does Prosthetic Knee, Polycentric, Mechanical Stance Lock cost?

$617

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $1,047 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$617$479 to $851
FacilityA hospital or hospital-owned outpatient department$1,047$631 to $1,549

How much rates vary

Facilitymedian $1,047 · 10th to 90th $427 to $3,802Professionalmedian $617 · 10th to 90th $427 to $1,023
$500$1K$2Kfacility $1,047professional $617

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
$426.58
Median
$426.58
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,511.89
Typical High
$3,801.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$1,380.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$1,000.00

Where Georgia sits

The same service costs 4.5 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.

Georgia· 27th of 51

$617

HI $2,042DE $457

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.