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Endoskeletal Knee, Pneumatic Swing, Friction Stance

Ohio rates for HCPCS L5822

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

Rates data updated July 2026.

How much does Endoskeletal Knee, Pneumatic Swing, Friction Stance cost?

$1,230

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $2,239 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$1,148$1,023 to $1,585
FacilityA hospital or hospital-owned outpatient department$2,239$1,698 to $2,512

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,023 to $3,631Professionalmedian $1,148 · 10th to 90th $1,000 to $2,239
$1K$2K$5Kfacility $2,239professional $1,148

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
$1,023.29
Median
$1,023.29
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,290.87
Typical High
$4,570.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$2,818.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$2,454.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,513.56
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,445.44
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,862.09
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,737.80
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,584.89

Where Ohio sits

The same service costs 2.4 times more in Massachusetts 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.

Ohio· 27th of 51

$1,230

MA $2,399NE $1,000

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.