go back

Endoskeletal Knee, Microprocessor Swing Phase Control

Pennsylvania 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?

$6,607

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $6,607 for this service. The price depends on where it is billed: about $6,457 from a physician practice, and about $7,079 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,457$4,898 to $9,550
FacilityA hospital or hospital-owned outpatient department$7,079$6,607 to $17,783

How much rates vary

Facilitymedian $7,079 · 10th to 90th $5,012 to $41,687Professionalmedian $6,457 · 10th to 90th $4,467 to $10,000
$5K$10K$20K$50Kfacility $7,079professional $6,457

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,677.35
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$660.69
Median
$691.83
Typical High
$741.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$436.52
Median
$467.74
Typical High
$489.78
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$7,943.28
Median
$10,000.00
Typical High
$10,000.00
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
$4,897.79
Median
$4,897.79
Typical High
$50,118.72
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$9,549.93
Median
$15,135.61
Typical High
$17,378.01
Geisinger
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Geisinger
Setting
Professional
Modifier
None
Typical Low
$6,165.95
Median
$7,244.36
Typical High
$10,232.93
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,786.30
Typical High
$4,897.79
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$676.08
Median
$707.95
Typical High
$741.31
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$446.68
Median
$478.63
Typical High
$489.78
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$9,332.54
Median
$14,454.40
Typical High
$15,488.17
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$32,359.37
Typical High
$56,234.13
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$9,549.93
United
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$15,135.61
United
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$5,011.87
Typical High
$7,762.47

Where Pennsylvania 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.

Pennsylvania· 22nd of 51

$6,607

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.