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Prosthetic Knee, Polycentric, Mechanical Stance Lock

North Carolina 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?

$759

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $794 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$759$550 to $794
FacilityA hospital or hospital-owned outpatient department$794$676 to $1,122

How much rates vary

Facilitymedian $794 · 10th to 90th $468 to $2,042Professionalmedian $759 · 10th to 90th $457 to $794
$500$1K$2K$5Kfacility $794professional $759

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
$758.58
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$758.58
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$676.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$831.76
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$776.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64

Where North Carolina 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.

North Carolina· 13th of 51

$759

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.