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Prosthetic Knee, Polycentric, Mechanical Stance Lock

Minnesota 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?

$1,023

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,778 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$1,023$851 to $1,023
FacilityA hospital or hospital-owned outpatient department$1,778$1,023 to $3,890

How much rates vary

Facilitymedian $1,778 · 10th to 90th $871 to $8,318Professionalmedian $1,023 · 10th to 90th $708 to $1,175
$500$1K$2K$5K$10Kfacility $1,778professional $1,023

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
$851.14
Median
$851.14
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$794.33
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,890.45
Typical High
$10,471.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,348.96
Typical High
$1,513.56
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,265.80
Typical High
$8,317.64
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,023.29
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$676.08
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$1,412.54

Where Minnesota 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.

Minnesota· 7th of 51

$1,023

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.