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Endoskeletal Knee, Microprocessor Swing Phase Control

New Jersey 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?

$5,012

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $3,715 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$5,012$4,467 to $7,943
FacilityA hospital or hospital-owned outpatient department$3,715$3,715 to $6,918

How much rates vary

Facilitymedian $3,715 · 10th to 90th $3,715 to $10,471Professionalmedian $5,012 · 10th to 90th $3,981 to $10,233
$5K$10K$20Kfacility $3,715professional $5,012

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
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,606.93
Typical High
$10,471.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,606.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$9,772.37
Typical High
$13,489.63
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,165.95
Typical High
$10,232.93

Where New Jersey 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.

New Jersey· 45th of 51

$5,012

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.