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Endoskeletal Knee, Microprocessor Swing Phase Control

Virginia 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 July 2026.

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

$5,623

Typical negotiated rate. In Virginia, July 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 $10,233 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,495$5,248 to $6,761
FacilityA hospital or hospital-owned outpatient department$10,233$6,761 to $10,233

How much rates vary

Facilitymedian $10,233 · 10th to 90th $5,248 to $10,965Professionalmedian $5,495 · 10th to 90th $4,677 to $9,333
$5K$10K$20Kfacility $10,233professional $5,495

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,248.07
Typical High
$5,495.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$11,748.98
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$10,232.93
Typical High
$14,454.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$6,760.83
Typical High
$10,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,413.10
Typical High
$12,022.64
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,309.57
Typical High
$6,606.93
Sentara
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$8,317.64
Typical High
$13,803.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$8,317.64
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,918.31
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,011.87
Typical High
$7,762.47

Where Virginia sits

The same service costs 2.4 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.

Virginia· 28th of 51

$5,623

HI $10,715DE $4,467

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.