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Prosthetic Knee, Polycentric, Mechanical Stance Lock

New York 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 New York, 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 $646 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 9 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$513 to $851
FacilityA hospital or hospital-owned outpatient department$646$617 to $1,072

How much rates vary

Facilitymedian $646 · 10th to 90th $447 to $1,549Professionalmedian $617 · 10th to 90th $437 to $1,549
$500$1K$2K$5K$10K$20K$50Kfacility $646professional $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
$371.54
Median
$501.19
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,778.28
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$851.14
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
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
$707.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$3,981.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,096.48
Typical High
$1,995.26
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$676.08
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$645.65
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$758.58
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$676.08
Typical High
$1,698.24
Univera
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$630.96
Typical High
$676.08
Univera
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$645.65

Where New York 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.

New York· 31st 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.