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Endoskeletal Knee, Pneumatic Swing Phase Control

Idaho 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?

$2,089

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $2,570 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$1,995$1,380 to $2,884
FacilityA hospital or hospital-owned outpatient department$2,570$2,042 to $2,884

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,514 to $3,631Professionalmedian $1,995 · 10th to 90th $1,148 to $3,311
$1K$2K$5Kfacility $2,570professional $1,995

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
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,778.28
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,818.38
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,659.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,344.23
Typical High
$3,019.95
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,884.03
Typical High
$3,019.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$2,570.40
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,884.03
Typical High
$2,884.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$3,311.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,019.95
Typical High
$4,570.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,884.03
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1,698.24
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,148.15
Typical High
$1,737.80

Where Idaho sits

The same service costs 3.8 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.

Idaho· 10th of 51

$2,089

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.