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Endoskeletal Knee, Pneumatic Swing Phase Control

Missouri 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?

$1,514

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $2,042 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 6 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$1,380$1,259 to $1,820
FacilityA hospital or hospital-owned outpatient department$2,042$1,698 to $2,570

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,148 to $4,786Professionalmedian $1,380 · 10th to 90th $1,148 to $3,020
$10.0$100.0$1.0K$10.0Kfacility $2,042professional $1,380

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
$1,148.15
Median
$1,698.24
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,698.24
Typical High
$13,182.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,995.26
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,041.74
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,905.46

Where Missouri 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.

Missouri $1,514 · 21st 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.