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Endoskeletal Knee, Polycentric, Friction Swing and Stance

New York 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?

$708

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $794 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$708$589 to $1,023
FacilityA hospital or hospital-owned outpatient department$794$741 to $1,288

How much rates vary

Facilitymedian $794 · 10th to 90th $537 to $1,905Professionalmedian $708 · 10th to 90th $490 to $1,862
$500$1K$2K$5K$10K$20K$50Kfacility $794professional $708

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
$562.34
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$2,511.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$2,137.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,023.29
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$831.76
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,089.30
Typical High
$4,786.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$2,398.83
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$831.76
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$794.33
Typical High
$794.33
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,202.26
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$870.96
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$812.83
Typical High
$2,041.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$831.76
Univera
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$794.33
Typical High
$794.33

Where New York 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.

New York· 26th of 51

$708

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.