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Endoskeletal Knee, Pneumatic Swing Phase Control

North Carolina rates for HCPCS L5830

Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control

Rates data updated July 2026.

How much does Endoskeletal Knee, Pneumatic Swing Phase Control cost?

$1,698

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $1,862 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$1,698$1,318 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,862$1,660 to $2,512

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,072 to $4,571Professionalmedian $1,698 · 10th to 90th $1,047 to $1,778
$10.0$100.0$1.0K$10.0Kfacility $1,862professional $1,698

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
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,698.24
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,778.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,659.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,737.80
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$18,197.01

Where North Carolina sits

The same service costs 3.8 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $1,698 · 17th of 51
HI $4,169NE $1,096

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.