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Endoskeletal Knee, Microprocessor Stance Phase Control

Pennsylvania 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?

$10,715

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $10,715 for this service. The price depends on where it is billed: about $10,715 from a physician practice, and about $27,542 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$10,715$9,772 to $14,125
FacilityA hospital or hospital-owned outpatient department$27,542$9,772 to $38,019

How much rates vary

Facilitymedian $27,542 · 10th to 90th $9,772 to $69,183Professionalmedian $10,715 · 10th to 90th $8,913 to $21,878
$10K$20K$50K$100Kfacility $27,542professional $10,715

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
$9,772.37
Median
$9,772.37
Typical High
$38,018.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$10,715.19
Typical High
$16,595.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$21,877.62
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
$14,454.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$20,417.38
Median
$29,512.09
Typical High
$42,657.95
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$22,387.21
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$15,488.17
Typical High
$22,387.21
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$38,018.94
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$10,715.19
Typical High
$17,782.79
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$74,131.02
Typical High
$125,892.54
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$20,892.96
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$27,542.29
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$12,302.69
Typical High
$22,908.68

Where Pennsylvania 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.

Pennsylvania· 47th of 51

$10,715

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.