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Endoskeletal Knee, Pneumatic Swing Phase Control

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $2,570 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 8 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$1,288$1,175 to $1,698
FacilityA hospital or hospital-owned outpatient department$2,570$1,950 to $2,818

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,175 to $4,169Professionalmedian $1,288 · 10th to 90th $1,122 to $2,512
$10.0$100.0$1.0K$10.0Kfacility $2,570professional $1,288

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
$1,174.90
Median
$1,174.90
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,570.40
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$3,162.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,949.84
Typical High
$2,754.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,041.74
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,819.70
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,737.80
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,089.30
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,949.84
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$1,737.80

Where Ohio 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.

Ohio $1,380 · 26th 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.