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Endoskeletal Knee, Hydraulic Swing, High Activity Frame

Ohio 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?

$2,089

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $3,981 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$2,042$1,862 to $2,692
FacilityA hospital or hospital-owned outpatient department$3,981$3,090 to $4,467

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,862 to $6,457Professionalmedian $2,042 · 10th to 90th $1,738 to $3,981
$1K$2K$5K$10Kfacility $3,981professional $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
$1,862.09
Median
$1,862.09
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,862.09
Typical High
$3,162.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$5,011.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,235.94
Typical High
$4,570.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,691.53
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,818.38
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$3,311.31
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,265.80
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,090.30
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,862.09
Typical High
$2,691.53

Where Ohio 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.

Ohio· 25th of 51

$2,089

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.