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Endoskeletal Knee, Microprocessor Swing Phase Control

Idaho 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?

$8,128

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $8,128 for this service. The price depends on where it is billed: about $7,586 from a physician practice, and about $9,550 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 8 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$7,586$5,495 to $9,772
FacilityA hospital or hospital-owned outpatient department$9,550$7,244 to $10,233

How much rates vary

Facilitymedian $9,550 · 10th to 90th $5,623 to $12,589Professionalmedian $7,586 · 10th to 90th $4,571 to $11,220
$2K$5K$10K$20Kfacility $9,550professional $7,586

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
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$6,456.54
Typical High
$8,511.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,549.93
Typical High
$16,218.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$11,220.18
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,606.93
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,606.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$8,511.38
Typical High
$11,220.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$9,772.37
Typical High
$10,232.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,772.37
Typical High
$9,772.37
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$11,220.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,471.29
Typical High
$15,488.17
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$9,772.37
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$6,918.31
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,570.88
Typical High
$7,079.46

Where Idaho 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.

Idaho· 12th of 51

$8,128

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.