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Endoskeletal Knee, Microprocessor Swing Phase Control

Utah 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 Utah, October 2026.

Insurers have agreed to pay about $6,607 for this service. The price depends on where it is billed: about $6,607 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,607$4,571 to $7,586
FacilityA hospital or hospital-owned outpatient department$6,607$2,951 to $10,471

How much rates vary

Facilitymedian $6,607 · 10th to 90th $2,951 to $10,471Professionalmedian $6,607 · 10th to 90th $2,951 to $9,550
$100$200$500$1K$2K$5K$10Kfacility $6,607professional $6,607

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
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$446.68
Median
$446.68
Typical High
$489.78
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$295.12
Median
$295.12
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$7,585.78
Typical High
$9,549.93
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$10,471.29
Typical High
$15,848.93
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Select Health
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
Select Health
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$10,232.93
Typical High
$10,471.29
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$6,456.54
Median
$8,511.38
Typical High
$12,302.69
United
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$8,317.64

Where Utah 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.

Utah· 24th 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.