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Endoskeletal Knee, Microprocessor Swing Phase Control

Georgia rates for HCPCS L5857

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type

Rates data updated July 2026.

How much does Endoskeletal Knee, Microprocessor Swing Phase Control cost?

$6,166

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $6,166 for this service. The price depends on where it is billed: about $6,166 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 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$6,166$4,677 to $8,511
FacilityA hospital or hospital-owned outpatient department$10,471$4,266 to $16,982

How much rates vary

Facilitymedian $10,471 · 10th to 90th $4,266 to $38,905Professionalmedian $6,166 · 10th to 90th $4,266 to $10,233
$5K$10K$20Kfacility $10,471professional $6,166

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
$4,265.80
Median
$4,265.80
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$8,709.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$25,118.86
Typical High
$38,904.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$8,511.38
Typical High
$12,589.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$12,589.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$10,471.29
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,918.31
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,128.61
Typical High
$10,000.00

Where Georgia sits

The same service costs 2.4 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.

Georgia· 20th of 51

$6,166

HI $10,715DE $4,467

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.