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Endoskeletal Knee, Microprocessor Stance Phase Control

South Dakota 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?

$22,387

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $22,387 for this service. The price depends on where it is billed: about $22,387 from a physician practice, and about $22,387 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 7 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$22,387$18,621 to $26,303
FacilityA hospital or hospital-owned outpatient department$22,387$16,596 to $31,623

How much rates vary

Facilitymedian $22,387 · 10th to 90th $15,136 to $44,668Professionalmedian $22,387 · 10th to 90th $17,378 to $32,359
$10K$20K$50K$100Kfacility $22,387professional $22,387

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17,378.01
Median
$18,620.87
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$25,118.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$32,359.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$22,908.68
Typical High
$60,255.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$15,135.61
Typical High
$112,201.85
Midlands
Setting
Professional
Modifier
Global
Typical Low
$20,417.38
Median
$24,547.09
Typical High
$24,547.09
Midlands
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$25,118.86
Typical High
$25,118.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$40,738.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$22,908.68
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$15,135.61
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$15,135.61
Typical High
$26,302.68
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$22,387.21

Where South Dakota 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.

South Dakota· 1st of 51

$22,387

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.