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Endoskeletal Knee, Microprocessor Swing and Stance Control

Kentucky 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?

$14,454

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $14,454 for this service. The price depends on where it is billed: about $14,454 from a physician practice, and about $17,378 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 6 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$14,454$13,804 to $15,488
FacilityA hospital or hospital-owned outpatient department$17,378$13,804 to $30,903

How much rates vary

Facilitymedian $17,378 · 10th to 90th $13,804 to $40,738Professionalmedian $14,454 · 10th to 90th $12,589 to $19,953
$10K$20K$50K$100Kfacility $17,378professional $14,454

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
$13,803.84
Median
$13,803.84
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$14,125.38
Typical High
$19,498.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$29,512.09
Typical High
$30,902.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$15,488.17
Typical High
$17,378.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$38,904.51
Typical High
$51,286.14
CareSource
Setting
Professional
Modifier
Global
Typical Low
$28,840.32
Median
$36,307.81
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$40,738.03
Typical High
$40,738.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$22,908.68
Typical High
$141,253.75
Molina
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$18,197.01
Typical High
$23,442.29
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$19,498.45
Typical High
$19,952.62
United
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$14,454.40
Typical High
$19,952.62

Where Kentucky 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.

Kentucky· 42nd of 51

$14,454

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.