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Endoskeletal Knee, Pneumatic Swing Phase Control

New Jersey 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?

$1,230

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $1,660 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$1,072 to $2,512
FacilityA hospital or hospital-owned outpatient department$1,660$1,202 to $1,660

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,202 to $2,512Professionalmedian $1,230 · 10th to 90th $891 to $2,512
$1K$2Kfacility $1,660professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$954.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$446.68
Median
$446.68
Typical High
$562.34
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$177.83
Median
$177.83
Typical High
$223.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$134.90
Median
$134.90
Typical High
$165.96
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$89.13
Median
$89.13
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,659.59
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$3,235.94
Typical High
$3,235.94
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$2,630.27
United
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$2,454.71

Where New Jersey 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.

New Jersey· 46th of 51

$1,230

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.