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Endoskeletal Knee, Microprocessor Swing Phase Control

South 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 October 2026.

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

$10,233

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $10,233 for this service. The price depends on where it is billed: about $10,233 from a physician practice, and about $14,454 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10,233$6,918 to $11,220
FacilityA hospital or hospital-owned outpatient department$14,454$7,586 to $16,982

How much rates vary

Facilitymedian $14,454 · 10th to 90th $6,918 to $27,542Professionalmedian $10,233 · 10th to 90th $4,898 to $13,804
$5K$10K$20K$50Kfacility $14,454professional $10,233

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
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$10,232.93
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$11,220.18
Median
$12,022.64
Typical High
$14,791.08
Medica
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$16,982.44
Typical High
$27,542.29
Medica
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$6,918.31
Typical High
$51,286.14
Midlands
Setting
Professional
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Midlands
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$18,620.87
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$10,471.29
Typical High
$12,022.64
United
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$6,918.31
Typical High
$8,128.31
Wellmark
Setting
Professional
Modifier
None
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93

Where South Dakota 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.

South Dakota· 3rd of 51

$10,233

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.