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Endoskeletal Knee, Adjustable Stance Flexion

North Carolina rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Rates data updated July 2026.

How much does Endoskeletal Knee, Adjustable Stance Flexion cost?

$1,622

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $1,660 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$1,622$1,122 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,660$1,349 to $2,239

How much rates vary

Facilitymedian $1,660 · 10th to 90th $955 to $3,715Professionalmedian $1,622 · 10th to 90th $933 to $1,660
$1K$2K$5K$10Kfacility $1,660professional $1,622

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
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,621.81
Typical High
$1,621.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,202.26
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,412.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,778.28
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,513.56
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$15,848.93

Where North Carolina sits

The same service costs 2.6 times more in Kansas 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· 15th of 51

$1,622

KS $2,399DE $933

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.