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Endoskeletal Knee, Pneumatic Swing Phase Control

South 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?

$2,291

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $2,291 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 7 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$2,291$1,995 to $2,754
FacilityA hospital or hospital-owned outpatient department$2,291$1,905 to $2,818

How much rates vary

Facilitymedian $2,291 · 10th to 90th $1,660 to $4,467Professionalmedian $2,291 · 10th to 90th $1,820 to $3,467
$1K$2K$5K$10Kfacility $2,291professional $2,291

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. 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
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$6,025.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,737.80
Typical High
$16,982.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$2,754.23
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$4,073.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,698.24
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,737.80
Typical High
$2,818.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89

Where South 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.

South Dakota· 8th of 51

$2,291

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.