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Endoskeletal Knee, Pneumatic Swing Phase Control

Illinois rates for HCPCS L5830

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

Rates data updated October 2026.

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

$1,585

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $3,311 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,349$1,175 to $2,399
FacilityA hospital or hospital-owned outpatient department$3,311$2,692 to $5,623

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,660 to $13,804Professionalmedian $1,349 · 10th to 90th $1,148 to $2,951
$1K$2K$5K$10K$20Kfacility $3,311professional $1,349

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
$1,174.90
Median
$1,174.90
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$588.84
Median
$588.84
Typical High
$977.24
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$239.88
Median
$239.88
Typical High
$389.05
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$177.83
Median
$177.83
Typical High
$295.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$117.49
Median
$117.49
Typical High
$194.98
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$4,073.80
Typical High
$16,595.87
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,659.59
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$3,467.37
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,995.26
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$2,454.71
Typical High
$3,715.35
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,202.26
Typical High
$2,818.38

Where Illinois sits

The same service costs 3.5 times more in Hawaii than in Delaware. 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.

Illinois· 26th of 51

$1,585

HI $4,169DE $1,202

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.