go back

Endoskeletal Knee, Microprocessor Swing and Stance Control

Iowa rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Rates data updated July 2026.

How much does Endoskeletal Knee, Microprocessor Swing and Stance Control cost?

$21,878

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $21,878 for this service. The price depends on where it is billed: about $21,878 from a physician practice, and about $24,547 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$21,878$14,454 to $25,119
FacilityA hospital or hospital-owned outpatient department$24,547$21,380 to $41,687

How much rates vary

Facilitymedian $24,547 · 10th to 90th $16,982 to $72,444Professionalmedian $21,878 · 10th to 90th $12,589 to $34,674
$10K$20K$50K$100Kfacility $24,547professional $21,878

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
$14,125.38
Median
$22,387.21
Typical High
$24,547.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$18,197.01
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$32,359.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$33,884.42
Typical High
$41,686.94
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$27,542.29
Median
$28,840.32
Typical High
$34,673.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$37,153.52
Typical High
$134,896.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$19,498.45
Typical High
$47,863.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$31,622.78
Median
$33,884.42
Typical High
$40,738.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$32,359.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$29,512.09
Median
$47,863.01
Typical High
$47,863.01
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$29,512.09
Typical High
$56,234.13
United
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$16,218.10
Typical High
$28,840.32
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$28,840.32
Typical High
$28,840.32

Where Iowa sits

The same service costs 2.3 times more in Hawaii than in Delaware. 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.

Iowa· 15th of 51

$21,878

HI $29,512DE $12,589

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.