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Prosthetic Knee, Polycentric, Mechanical Stance Lock

North Dakota 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?

$1,202

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,000 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$1,259$1,000 to $1,514
FacilityA hospital or hospital-owned outpatient department$1,000$851 to $1,000

How much rates vary

Facilitymedian $1,000 · 10th to 90th $851 to $1,622Professionalmedian $1,259 · 10th to 90th $617 to $1,660
$500$1K$2K$5Kfacility $1,000professional $1,259

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
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,174.90
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,000.00
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$776.25
Typical High
$1,258.93

Where North Dakota 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 Dakota· 2nd of 51

$1,202

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.