go back

Endoskeletal Knee, Hydraulic Swing, High Activity Frame

New York rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Rates data updated July 2026.

How much does Endoskeletal Knee, Hydraulic Swing, High Activity Frame cost?

$2,042

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $2,818 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 9 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$2,042$1,862 to $3,090
FacilityA hospital or hospital-owned outpatient department$2,818$2,239 to $3,890

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,622 to $5,754Professionalmedian $2,042 · 10th to 90th $1,622 to $5,495
$1K$2K$5K$10K$20K$50Kfacility $2,818professional $2,042

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
$1,380.38
Median
$1,819.70
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,819.70
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$7,585.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$6,456.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,090.30
Typical High
$3,090.30
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,754.23
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$14,791.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,981.07
Typical High
$7,244.36
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,951.21
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,398.83
Typical High
$2,818.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,630.78
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,511.89
Typical High
$6,165.95
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,238.72
Typical High
$2,951.21
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,398.83
Typical High
$2,818.38

Where New York sits

The same service costs 2.5 times more in Hawaii 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.

New York· 32nd of 51

$2,042

HI $4,074NE $1,660

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.