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Endoskeletal Knee, Microprocessor Swing and Stance Control

Utah 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?

$16,218

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $16,218 for this service. The price depends on where it is billed: about $16,218 from a physician practice, and about $16,218 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$16,218$11,749 to $30,200
FacilityA hospital or hospital-owned outpatient department$16,218$8,318 to $29,512

How much rates vary

Facilitymedian $16,218 · 10th to 90th $8,318 to $29,512Professionalmedian $16,218 · 10th to 90th $8,318 to $123,027
$10K$20K$50K$100Kfacility $16,218professional $16,218

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
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$12,882.50
Typical High
$123,026.88
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
$16,982.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$21,379.62
Typical High
$27,542.29
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$29,512.09
Typical High
$29,512.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$20,892.96
Typical High
$31,622.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$30,199.52
Select Health
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$28,840.32
Typical High
$30,199.52
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$20,892.96
Median
$30,199.52
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$17,378.01
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$12,882.50
Typical High
$19,952.62

Where Utah 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.

Utah· 28th of 51

$16,218

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.