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Prosthetic Knee, Polycentric, Mechanical Stance Lock

South 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?

$575

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $676 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$537$457 to $759
FacilityA hospital or hospital-owned outpatient department$676$457 to $977

How much rates vary

Facilitymedian $676 · 10th to 90th $457 to $1,380Professionalmedian $537 · 10th to 90th $447 to $759
$500$1K$2Kfacility $676professional $537

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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,174.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$616.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,621.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$776.25

Where South 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.

South Carolina· 36th of 51

$575

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.