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Endoskeletal Knee, Polycentric, Friction Swing and Stance

North Carolina rates for HCPCS L5818

Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control

Rates data updated July 2026.

How much does Endoskeletal Knee, Polycentric, Friction Swing and Stance cost?

$851

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $912 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$851$617 to $891
FacilityA hospital or hospital-owned outpatient department$912$813 to $1,259

How much rates vary

Facilitymedian $912 · 10th to 90th $537 to $2,291Professionalmedian $851 · 10th to 90th $513 to $891
$500$1K$2K$5Kfacility $912professional $851

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
$851.14
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$851.14
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$776.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$954.99
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$575.44
Typical High
$891.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$9,332.54

Where North Carolina sits

The same service costs 4.0 times more in Hawaii than in Nebraska. 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· 17th of 51

$851

HI $2,042NE $513

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.