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Endoskeletal Knee, Microprocessor Swing Phase Control

North Carolina 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 North Carolina, 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 $7,943 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$7,762$5,370 to $7,943
FacilityA hospital or hospital-owned outpatient department$7,943$6,607 to $10,471

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,677 to $16,596Professionalmedian $7,762 · 10th to 90th $4,467 to $7,943
$5K$10K$20K$50Kfacility $7,943professional $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
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$7,762.47
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$10,232.93
Typical High
$20,417.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
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
$6,918.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,128.61
Typical High
$6,760.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$8,511.38
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$8,511.38
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,128.61
Typical High
$7,244.36
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$48,977.88
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$75,857.76

Where North Carolina 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.

North Carolina· 13th 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.