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Endoskeletal Knee, Microprocessor Swing Phase Control

North Dakota 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?

$10,000

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $10,000 for this service. The price depends on where it is billed: about $10,000 from a physician practice, and about $7,586 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10,000$7,586 to $11,749
FacilityA hospital or hospital-owned outpatient department$7,586$7,586 to $8,710

How much rates vary

Facilitymedian $7,586 · 10th to 90th $6,607 to $18,621Professionalmedian $10,000 · 10th to 90th $4,571 to $12,023
$5K$10K$20K$50Kfacility $7,586professional $10,000

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$7,585.78
Typical High
$8,709.64
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$8,709.64
Median
$11,748.98
Typical High
$11,748.98
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$10,471.29
Median
$14,125.38
Typical High
$14,125.38
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
$6,606.93
Median
$12,022.64
Typical High
$14,791.08
Medica
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$7,585.78
Typical High
$47,863.01
Medica
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$6,918.31
Typical High
$8,317.64
United
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$6,918.31
Typical High
$8,317.64

Where North Dakota 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.

North Dakota· 8th of 51

$10,000

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.