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Endoskeletal Knee, Fluid Swing and Stance Control

North Carolina rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Rates data updated July 2026.

How much does Endoskeletal Knee, Fluid Swing and Stance Control cost?

$2,512

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,512 from a physician practice, and about $2,692 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$2,512$1,862 to $2,570
FacilityA hospital or hospital-owned outpatient department$2,692$2,291 to $3,715

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,622 to $6,310Professionalmedian $2,512 · 10th to 90th $1,549 to $2,570
$1K$2K$5K$10Kfacility $2,692professional $2,512

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
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$2,511.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,388.44
Typical High
$6,760.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$2,344.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,698.24
Typical High
$2,344.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,818.38
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,698.24
Typical High
$2,630.27
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$30,902.95

Where North Carolina sits

The same service costs 3.2 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.

North Carolina· 18th of 51

$2,512

HI $5,012DE $1,585

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.