go back

Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

North Carolina rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Rates data updated July 2026.

How much does Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing cost?

$3,162

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $3,388 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$3,162$2,399 to $3,236
FacilityA hospital or hospital-owned outpatient department$3,388$3,020 to $4,365

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,862 to $7,943Professionalmedian $3,162 · 10th to 90th $1,905 to $3,311
$10.0$100.0$1.0K$10.0Kfacility $3,388professional $3,162

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
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,162.28
Typical High
$3,162.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,168.69
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,388.44
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,548.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,089.30
Typical High
$2,951.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,467.37
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$3,162.28
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$21,877.62
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$31,622.78

Where North Carolina sits

The same service costs 2.6 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 $3,162 · 16th of 51
HI $4,786NE $1,862

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.