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Endoskeletal Knee, Pneumatic Swing Phase Control

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,349 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$1,349$1,318 to $1,698
FacilityA hospital or hospital-owned outpatient department$2,570$1,660 to $2,570

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,318 to $3,162Professionalmedian $1,349 · 10th to 90th $1,148 to $2,291
$10.0$100.0$1.0K$10.0Kfacility $2,570professional $1,349

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
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,691.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,884.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,548.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,570.40
Typical High
$3,548.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,511.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,737.80
Typical High
$3,090.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$1,659.59
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$5,248.07
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,698.24
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,230.27
Typical High
$1,949.84

Where Virginia 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.

Virginia $1,380 · 31st 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.