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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 July 2026.

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

$9,550

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $9,550 for this service. The price depends on where it is billed: about $9,772 from a physician practice, and about $7,586 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 5 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$9,772$7,586 to $11,482
FacilityA hospital or hospital-owned outpatient department$7,586$7,586 to $8,710

How much rates vary

Facilitymedian $7,586 · 10th to 90th $7,586 to $12,882Professionalmedian $9,772 · 10th to 90th $5,495 to $12,589
$5.0K$10.0K$20.0K$50.0Kfacility $7,586professional $9,772

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
$7,585.78
Median
$7,585.78
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$7,585.78
Typical High
$38,018.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$11,481.54
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$12,022.64
Typical High
$14,791.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$8,709.64
Typical High
$22,387.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,128.61
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$7,079.46
Typical High
$12,022.64

Where North Dakota sits

The same service costs 2.4 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Dakota $9,550 · 5th of 51
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.