go back

Endoskeletal Knee, Microprocessor Stance Phase Control

Idaho rates for HCPCS L5858

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type

Rates data updated July 2026.

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

$18,197

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $18,197 for this service. The price depends on where it is billed: about $16,596 from a physician practice, and about $20,893 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$16,596$12,023 to $21,380
FacilityA hospital or hospital-owned outpatient department$20,893$16,596 to $22,387

How much rates vary

Facilitymedian $20,893 · 10th to 90th $13,183 to $26,915Professionalmedian $16,596 · 10th to 90th $10,000 to $24,547
$2K$5K$10K$20K$50Kfacility $20,893professional $16,596

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
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$14,125.38
Typical High
$18,620.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$20,892.96
Typical High
$35,481.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$24,547.09
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$14,454.40
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$14,454.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$20,417.38
Typical High
$23,442.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$21,379.62
Typical High
$22,387.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$21,379.62
Typical High
$21,379.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$24,547.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$22,908.68
Typical High
$33,884.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$21,379.62
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15,135.61
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$10,000.00
Typical High
$15,488.17

Where Idaho sits

The same service costs 2.3 times more in South Dakota 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.

Idaho· 11th of 51

$18,197

SD $22,387DE $9,772

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.