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Endoskeletal Knee, Microprocessor Swing and Stance Control

South 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?

$28,840

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $28,840 for this service. The price depends on where it is billed: about $28,840 from a physician practice, and about $28,840 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 7 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$28,840$23,988 to $33,884
FacilityA hospital or hospital-owned outpatient department$28,840$21,380 to $40,738

How much rates vary

Facilitymedian $28,840 · 10th to 90th $19,498 to $57,544Professionalmedian $28,840 · 10th to 90th $21,380 to $41,687
$10K$20K$50K$100Kfacility $28,840professional $28,840

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. Small sample; interpret with caution. 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
$21,379.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22,387.21
Median
$24,547.09
Typical High
$28,840.32
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
$33,884.42
Median
$33,884.42
Typical High
$41,686.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$29,512.09
Typical High
$77,624.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$19,952.62
Typical High
$144,543.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$26,302.68
Median
$31,622.78
Typical High
$31,622.78
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
$26,302.68
Median
$26,302.68
Typical High
$52,480.75
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$24,547.09
Median
$29,512.09
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$19,498.45
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$19,952.62
Typical High
$33,884.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$28,840.32
Median
$28,840.32
Typical High
$28,840.32

Where South 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.

South Dakota· 2nd of 51

$28,840

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.