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Endoskeletal Knee, Pneumatic Swing Phase Control

Iowa rates for HCPCS L5830

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

Rates data updated July 2026.

How much does Endoskeletal Knee, Pneumatic Swing Phase Control cost?

$1,778

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $1,995 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$1,698$1,175 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,995$1,698 to $3,631

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,514 to $6,166Professionalmedian $1,698 · 10th to 90th $977 to $3,162
$10.0$100.0$1.0K$10.0Kfacility $1,995professional $1,698

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
$1,949.84
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,754.23
Typical High
$3,467.37
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,235.94
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,698.24
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,951.21
Typical High
$3,548.13
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,168.69
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,905.46
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$2,398.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,511.89
Typical High
$2,511.89

Where Iowa sits

The same service costs 3.8 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $1,778 · 14th of 51
HI $4,169NE $1,096

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.