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Endoskeletal Knee, Microprocessor Swing and Stance Control

Oregon 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?

$24,547

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $24,547 for this service. The price depends on where it is billed: about $21,380 from a physician practice, and about $27,542 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$27,542$27,542 to $28,184

How much rates vary

Facilitymedian $27,542 · 10th to 90th $21,380 to $28,840Professionalmedian $21,380 · 10th to 90th $11,749 to $31,623
$100$1K$10K$100Kfacility $27,542professional $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
$12,589.25
Median
$15,488.17
Typical High
$24,547.09
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
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$57,543.99
Typical High
$69,183.10
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$21,379.62
Typical High
$29,512.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$21,379.62
Median
$22,908.68
Typical High
$31,622.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$28,183.83
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$23,442.29
Typical High
$31,622.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$24,547.09
Typical High
$30,199.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$29,512.09
Typical High
$112,201.85
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$26,915.35
Median
$31,622.78
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$17,378.01
Typical High
$42,657.95
United
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$12,882.50
Typical High
$24,547.09

Where Oregon 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.

Oregon· 9th of 51

$24,547

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.