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Endoskeletal Knee, Microprocessor Stance Phase Control

New York 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?

$12,589

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $12,589 for this service. The price depends on where it is billed: about $12,589 from a physician practice, and about $15,136 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 9 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$12,589$10,965 to $18,197
FacilityA hospital or hospital-owned outpatient department$15,136$10,715 to $25,119

How much rates vary

Facilitymedian $15,136 · 10th to 90th $9,550 to $38,905Professionalmedian $12,589 · 10th to 90th $9,550 to $33,113
$10K$20K$50K$100Kfacility $15,136professional $12,589

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
$10,715.19
Typical High
$25,118.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$10,715.19
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$44,668.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$38,018.94
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$18,197.01
Typical High
$18,197.01
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$31,622.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$15,488.17
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$37,153.52
Typical High
$85,113.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$23,442.29
Typical High
$42,657.95
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$14,125.38
Typical High
$15,848.93
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$21,379.62
Typical High
$25,118.86
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,488.17
Typical High
$35,481.34
United
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$14,454.40
Typical High
$36,307.81
Univera
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$13,182.57
Typical High
$13,182.57
Univera
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$14,125.38

Where New York 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 York· 28th of 51

$12,589

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.