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Prosthetic Knee, Polycentric, Mechanical Stance Lock

South 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?

$1,175

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,096 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 7 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$1,175$851 to $1,318
FacilityA hospital or hospital-owned outpatient department$1,096$871 to $1,445

How much rates vary

Facilitymedian $1,096 · 10th to 90th $759 to $2,630Professionalmedian $1,175 · 10th to 90th $794 to $1,479
$500$1K$2K$5Kfacility $1,096professional $1,175

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$8,128.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,122.02
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$2,454.71
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$851.14
Typical High
$1,202.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29

Where South 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.

South Dakota· 3rd of 51

$1,175

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.