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Endoskeletal Knee, Microprocessor Swing Phase Control

Iowa 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?

$7,762

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $7,762 for this service. The price depends on where it is billed: about $7,762 from a physician practice, and about $8,710 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$7,762$5,129 to $8,913
FacilityA hospital or hospital-owned outpatient department$8,710$7,586 to $14,791

How much rates vary

Facilitymedian $8,710 · 10th to 90th $6,457 to $25,704Professionalmedian $7,762 · 10th to 90th $4,467 to $12,023
$5K$10K$20K$50Kfacility $8,710professional $7,762

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
$5,011.87
Median
$7,943.28
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$6,456.54
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$12,022.64
Typical High
$14,791.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$10,232.93
Typical High
$10,715.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$13,182.57
Typical High
$47,863.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$6,918.31
Typical High
$16,982.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$12,022.64
Typical High
$14,454.40
Midlands
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$16,982.44
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$19,952.62
United
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,754.40
Typical High
$10,232.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$10,232.93
Typical High
$10,232.93

Where Iowa 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.

Iowa· 14th of 51

$7,762

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.