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Endoskeletal Knee, Hydraulic Swing, High Activity Frame

Pennsylvania rates for HCPCS L5826

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

Rates data updated October 2026.

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

$1,950

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $2,692 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,950$1,738 to $2,630
FacilityA hospital or hospital-owned outpatient department$2,692$2,692 to $5,495

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,820 to $14,791Professionalmedian $1,950 · 10th to 90th $1,660 to $3,548
$2K$5K$10K$20K$50Kfacility $2,692professional $1,950

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,698.24
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$245.47
Median
$257.04
Typical High
$275.42
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$162.18
Median
$169.82
Typical High
$181.97
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,019.95
Capital Blue Cross
Setting
Professional
Modifier
50 · Both sides
Typical Low
$3,388.44
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$18,620.87
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$6,456.54
Geisinger
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Geisinger
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$3,801.89
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,737.80
Typical High
$1,819.70
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$245.47
Median
$263.03
Typical High
$275.42
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$162.18
Median
$173.78
Typical High
$181.97
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,890.45
Typical High
$5,623.41
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$12,022.64
Typical High
$20,892.96
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,548.13
United
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$4,570.88
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$3,090.30

Where Pennsylvania sits

The same service costs 2.1 times more in Hawaii than in New Jersey. 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.

Pennsylvania· 47th of 51

$1,950

HI $4,074NJ $1,950

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.