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Endoskeletal Knee, Polycentric, Friction Swing and Stance

Ohio 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?

$676

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,230 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 8 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$631$562 to $871
FacilityA hospital or hospital-owned outpatient department$1,230$955 to $1,349

How much rates vary

Facilitymedian $1,230 · 10th to 90th $575 to $1,995Professionalmedian $631 · 10th to 90th $550 to $1,288
$500$1K$2Kfacility $1,230professional $631

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
$562.34
Median
$562.34
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,230.27
Typical High
$2,511.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,513.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$977.24
Typical High
$1,380.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$870.96
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$851.14
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,000.00
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$891.25

Where Ohio 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.

Ohio· 33rd of 51

$676

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.