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Endoskeletal Knee, Microprocessor Swing Phase Control

Michigan 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 October 2026.

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

$7,413

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $7,413 for this service. The price depends on where it is billed: about $7,413 from a physician practice, and about $18,197 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7,413$5,888 to $10,233
FacilityA hospital or hospital-owned outpatient department$18,197$6,607 to $32,359

How much rates vary

Facilitymedian $18,197 · 10th to 90th $6,607 to $45,709Professionalmedian $7,413 · 10th to 90th $5,012 to $10,471
$5K$10K$20K$50K$100Kfacility $18,197professional $7,413

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$870.96
Median
$870.96
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$588.84
Median
$588.84
Typical High
$1,023.29
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$30,199.52
Typical High
$57,543.99
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$9,772.37
Median
$10,232.93
Typical High
$10,232.93
CareSource
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$6,606.93
Typical High
$11,481.54
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$19,952.62
Typical High
$21,877.62
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$5,888.44
Median
$8,128.31
Typical High
$10,471.29
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Priority Health
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Priority Health
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$6,606.93
Typical High
$10,232.93
United
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$12,589.25
Typical High
$15,135.61
United
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,897.79
Typical High
$7,079.46

Where Michigan 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.

Michigan· 18th of 51

$7,413

HI $11,220DE $4,898

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.