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Endoskeletal Knee, Microprocessor Stance Phase Control

North Carolina 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?

$16,982

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $16,982 for this service. The price depends on where it is billed: about $16,982 from a physician practice, and about $16,982 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$16,982$11,749 to $17,378
FacilityA hospital or hospital-owned outpatient department$16,982$14,454 to $22,909

How much rates vary

Facilitymedian $16,982 · 10th to 90th $10,000 to $35,481Professionalmedian $16,982 · 10th to 90th $9,772 to $17,378
$10K$20K$50K$100Kfacility $16,982professional $16,982

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
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$16,982.44
Typical High
$16,982.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$22,387.21
Typical High
$44,668.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
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
$15,488.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$11,220.18
Typical High
$14,791.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$18,197.01
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$18,197.01
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$11,220.18
Typical High
$15,848.93
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$107,151.93
Median
$107,151.93
Typical High
$107,151.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$114,815.36
Median
$114,815.36
Typical High
$165,958.69

Where North Carolina 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.

North Carolina· 14th of 51

$16,982

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.