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Endoskeletal Knee, Pneumatic Swing Phase Control

North Dakota 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 North Dakota, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $1,660 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 5 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$2,138$1,660 to $2,512
FacilityA hospital or hospital-owned outpatient department$1,660$1,660 to $1,995

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,660 to $2,818Professionalmedian $2,138 · 10th to 90th $1,380 to $2,818
$1K$2K$5K$10Kfacility $1,660professional $2,138

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
$1,659.59
Median
$1,659.59
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$11,748.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,511.89
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,754.23
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,238.72
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,737.80
Typical High
$2,818.38

Where North Dakota 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.

North Dakota· 11th 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.