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Endoskeletal Knee, Microprocessor Swing and Stance Control

South Carolina 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?

$15,136

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $15,136 for this service. The price depends on where it is billed: about $14,454 from a physician practice, and about $18,621 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$13,183 to $21,878
FacilityA hospital or hospital-owned outpatient department$18,621$13,183 to $26,915

How much rates vary

Facilitymedian $18,621 · 10th to 90th $13,183 to $37,154Professionalmedian $14,454 · 10th to 90th $12,303 to $21,878
$10K$20K$50Kfacility $18,621professional $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
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$13,182.57
Typical High
$21,877.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$22,908.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$26,915.35
Typical High
$29,512.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17,782.79
Median
$29,512.09
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$33,884.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$14,454.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$21,877.62
Typical High
$45,708.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$19,498.45
Typical High
$35,481.34
United
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$14,454.40
Typical High
$19,952.62

Where South Carolina 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.

South Carolina· 35th of 51

$15,136

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.