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Endoskeletal Knee, Microprocessor Stance Phase Control

New Jersey 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?

$10,965

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $10,965 for this service. The price depends on where it is billed: about $10,965 from a physician practice, and about $8,128 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 5 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$10,965$9,550 to $17,378
FacilityA hospital or hospital-owned outpatient department$8,128$8,128 to $15,136

How much rates vary

Facilitymedian $8,128 · 10th to 90th $8,128 to $22,387Professionalmedian $10,965 · 10th to 90th $8,511 to $21,878
$10K$20K$50K$100Kfacility $8,128professional $10,965

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
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$9,772.37
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$14,454.40
Typical High
$22,387.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$14,454.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$20,417.38
Typical High
$29,512.09
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$21,877.62
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$22,387.21
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$21,379.62

Where New Jersey 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.

New Jersey· 45th of 51

$10,965

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.