go back

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 October 2026.

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

$5,129

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $5,129 for this service. The price depends on where it is billed: about $5,129 from a physician practice, and about $6,607 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$5,129$4,467 to $10,471
FacilityA hospital or hospital-owned outpatient department$6,607$6,607 to $6,607

How much rates vary

Facilitymedian $6,607 · 10th to 90th $3,715 to $10,471Professionalmedian $5,129 · 10th to 90th $3,715 to $10,471
$5K$10Kfacility $6,607professional $5,129

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
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$562.34
Median
$562.34
Typical High
$676.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$371.54
Median
$371.54
Typical High
$446.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$10,471.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,606.93
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$6,760.83
Median
$13,489.63
Typical High
$13,489.63
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
United
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$12,589.25
United
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$5,623.41
Typical High
$10,000.00

Where New Jersey 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.

New Jersey· 47th of 51

$5,129

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.