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Endoskeletal Knee, Microprocessor Swing Phase Control

Rhode Island 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?

$5,623

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $19,055 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,495$5,129 to $6,166
FacilityA hospital or hospital-owned outpatient department$19,055$15,136 to $21,878

How much rates vary

Facilitymedian $19,055 · 10th to 90th $12,589 to $23,988Professionalmedian $5,495 · 10th to 90th $4,074 to $8,710
$5K$10K$20Kfacility $19,055professional $5,495

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
Professional
Modifier
None
Typical Low
$5,888.44
Median
$6,165.95
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$870.96
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$588.84
Median
$616.60
Typical High
$616.60
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$20,417.38
Typical High
$23,988.33
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$5,495.41
Typical High
$8,912.51
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
$6,606.93
United
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
United
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$6,025.60
Typical High
$8,709.64

Where Rhode Island 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.

Rhode Island· 33rd of 51

$5,623

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.