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Endoskeletal Knee, Pneumatic Swing Phase Control

New York 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?

$1,380

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,380 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 9 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$1,230 to $2,042
FacilityA hospital or hospital-owned outpatient department$1,660$1,479 to $2,570

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,072 to $3,715Professionalmedian $1,380 · 10th to 90th $977 to $3,631
$10.0$100.0$1.0K$10.0Kfacility $1,660professional $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
$891.25
Median
$1,230.27
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$4,265.80
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,041.74
Typical High
$2,041.74
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,778.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,073.80
Typical High
$9,549.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,630.27
Typical High
$4,786.30
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,737.80
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$1,659.59
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,398.83
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,698.24
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,621.81
Typical High
$4,073.80
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,513.56
Typical High
$1,737.80
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$1,659.59

Where New York 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.

New York $1,380 · 33rd 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.