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Endoskeletal Knee, Polycentric, Friction Swing and Stance

Pennsylvania 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?

$575

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $1,318 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$575$513 to $741
FacilityA hospital or hospital-owned outpatient department$1,318$513 to $1,995

How much rates vary

Facilitymedian $1,318 · 10th to 90th $513 to $2,884Professionalmedian $575 · 10th to 90th $479 to $1,023
$500$1K$2K$5K$10K$20K$50Kfacility $1,318professional $575

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
$512.86
Median
$512.86
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$1,023.29
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,174.90
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
$812.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$2,398.83
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$1,174.90
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,995.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$954.99
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,454.71
Typical High
$4,466.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,096.48
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,584.89
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$1,230.27

Where Pennsylvania 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.

Pennsylvania· 47th of 51

$575

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.