go back

Endoskeletal Knee, Microprocessor Swing and Stance Control

New Jersey 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?

$14,125

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $14,125 for this service. The price depends on where it is billed: about $14,125 from a physician practice, and about $10,471 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$14,125$12,303 to $22,387
FacilityA hospital or hospital-owned outpatient department$10,471$10,471 to $19,498

How much rates vary

Facilitymedian $10,471 · 10th to 90th $10,471 to $28,840Professionalmedian $14,125 · 10th to 90th $10,965 to $28,184
$10K$20K$50K$100Kfacility $10,471professional $14,125

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
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$12,589.25
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$16,218.10
Typical High
$28,840.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$16,218.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$27,542.29
Typical High
$38,018.94
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$28,840.32
Typical High
$28,840.32
United
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$17,378.01
Typical High
$28,183.83

Where New Jersey 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.

New Jersey· 44th of 51

$14,125

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.