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Endoskeletal Knee, Microprocessor Swing and Stance Control

North Dakota 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?

$26,915

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $26,915 for this service. The price depends on where it is billed: about $27,542 from a physician practice, and about $21,380 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 5 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$27,542$21,380 to $32,359
FacilityA hospital or hospital-owned outpatient department$21,380$21,380 to $24,547

How much rates vary

Facilitymedian $21,380 · 10th to 90th $21,380 to $36,308Professionalmedian $27,542 · 10th to 90th $15,488 to $35,481
$10K$20K$50K$100Kfacility $21,380professional $27,542

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
$21,379.62
Median
$21,379.62
Typical High
$24,547.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$21,379.62
Typical High
$107,151.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$32,359.37
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$33,884.42
Typical High
$41,686.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$24,547.09
Typical High
$64,565.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$14,454.40
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$42,657.95
United
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$19,952.62
Typical High
$33,884.42

Where North Dakota 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.

North Dakota· 6th of 51

$26,915

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.