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Endoskeletal Knee, Microprocessor Swing and Stance Control

Idaho 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?

$22,909

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $22,909 for this service. The price depends on where it is billed: about $21,380 from a physician practice, and about $26,915 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$21,380$15,488 to $27,542
FacilityA hospital or hospital-owned outpatient department$26,915$20,417 to $28,840

How much rates vary

Facilitymedian $26,915 · 10th to 90th $15,849 to $35,481Professionalmedian $21,380 · 10th to 90th $12,023 to $31,623
$5K$10K$20K$50Kfacility $26,915professional $21,380

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
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$18,197.01
Typical High
$23,988.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$26,915.35
Typical High
$45,708.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30,199.52
Median
$31,622.78
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$16,218.10
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$23,988.33
Typical High
$31,622.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$27,542.29
Typical High
$28,840.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$27,542.29
Typical High
$27,542.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$31,622.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$29,512.09
Typical High
$43,651.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$27,542.29
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$19,498.45
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$12,882.50
Typical High
$19,952.62

Where Idaho 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.

Idaho· 12th of 51

$22,909

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.