go back

Endoskeletal Knee, Microprocessor Stance Phase Control

Kentucky 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?

$11,220

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $11,220 for this service. The price depends on where it is billed: about $11,220 from a physician practice, and about $14,454 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 6 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$11,220$10,715 to $12,023
FacilityA hospital or hospital-owned outpatient department$14,454$10,715 to $23,988

How much rates vary

Facilitymedian $14,454 · 10th to 90th $10,715 to $31,623Professionalmedian $11,220 · 10th to 90th $10,000 to $15,136
$10K$20K$50K$100Kfacility $14,454professional $11,220

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
$10,715.19
Median
$10,715.19
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$10,964.78
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$22,908.68
Typical High
$23,988.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$12,022.64
Typical High
$12,589.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$30,199.52
Typical High
$39,810.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22,387.21
Median
$28,183.83
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$31,622.78
Typical High
$31,622.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$15,488.17
Typical High
$109,647.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$14,125.38
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$15,135.61
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$11,220.18
Typical High
$15,488.17

Where Kentucky 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.

Kentucky· 42nd of 51

$11,220

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.