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Endoskeletal Knee, Pneumatic Swing Phase Control

Pennsylvania 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?

$1,230

Typical negotiated rate. In Pennsylvania, July 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 $3,311 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$1,230$1,122 to $1,660
FacilityA hospital or hospital-owned outpatient department$3,311$1,175 to $5,248

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,122 to $8,128Professionalmedian $1,230 · 10th to 90th $977 to $2,239
$10.0$100.0$1.0K$10.0Kfacility $3,311professional $1,230

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
$1,122.02
Median
$1,122.02
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,995.26
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
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
$1,659.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$4,786.30
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$2,570.40
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$4,265.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,995.26
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$6,025.60
Typical High
$9,772.37
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$2,570.40

Where Pennsylvania 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.

Pennsylvania $1,230 · 44th 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.