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Endoskeletal Knee, Microprocessor Swing and Stance Control

Nebraska 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?

$12,882

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $12,882 for this service. The price depends on where it is billed: about $12,882 from a physician practice, and about $29,512 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$12,882$12,882 to $15,488
FacilityA hospital or hospital-owned outpatient department$29,512$19,498 to $32,359

How much rates vary

Facilitymedian $29,512 · 10th to 90th $16,982 to $58,884Professionalmedian $12,882 · 10th to 90th $11,220 to $21,878
$10K$20K$50K$100Kfacility $29,512professional $12,882

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
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$12,882.50
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25,118.86
Median
$28,183.83
Typical High
$28,183.83
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
$16,218.10
Median
$33,884.42
Typical High
$60,255.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$31,622.78
Typical High
$134,896.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$17,378.01
Typical High
$28,840.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$31,622.78
Median
$31,622.78
Typical High
$77,624.71
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
$39,810.72
Median
$72,443.60
Typical High
$77,624.71
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$29,512.09
Typical High
$30,199.52
United
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$15,848.93
Typical High
$22,387.21

Where Nebraska 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.

Nebraska· 50th of 51

$12,882

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.