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Endoskeletal Knee, Microprocessor Stance Phase Control

Utah 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?

$13,490

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $13,490 for this service. The price depends on where it is billed: about $14,125 from a physician practice, and about $13,183 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$14,125$9,333 to $22,909
FacilityA hospital or hospital-owned outpatient department$13,183$6,457 to $22,909

How much rates vary

Facilitymedian $13,183 · 10th to 90th $6,457 to $22,909Professionalmedian $14,125 · 10th to 90th $6,457 to $95,499
$10K$20K$50K$100Kfacility $13,183professional $14,125

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
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$9,772.37
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$14,454.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$14,454.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$16,595.87
Typical High
$21,379.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$22,908.68
Typical High
$22,908.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$16,218.10
Typical High
$24,547.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Select Health
Setting
Professional
Modifier
Global
Typical Low
$11,481.54
Median
$22,387.21
Typical High
$22,908.68
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$22,908.68
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,182.57
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$10,000.00
Typical High
$15,488.17

Where Utah 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.

Utah· 19th of 51

$13,490

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.