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Endoskeletal Knee, Microprocessor Stance Phase Control

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $12,589 for this service. The price depends on where it is billed: about $11,749 from a physician practice, and about $21,878 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$11,749$11,482 to $14,791
FacilityA hospital or hospital-owned outpatient department$21,878$14,454 to $22,387

How much rates vary

Facilitymedian $21,878 · 10th to 90th $11,482 to $23,988Professionalmedian $11,749 · 10th to 90th $10,000 to $20,417
$10K$20K$50Kfacility $21,878professional $11,749

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
$11,481.54
Median
$11,481.54
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$11,481.54
Typical High
$12,022.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$23,988.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$26,302.68
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
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
$10,715.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$22,387.21
Typical High
$31,622.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$14,791.08
Typical High
$21,877.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$15,135.61
Typical High
$25,703.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$13,489.63
Typical High
$14,454.40
Sentara
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,982.44
Typical High
$30,199.52
Sentara
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$16,982.44
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$15,135.61
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$10,964.78
Typical High
$16,982.44

Where Virginia 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.

Virginia· 26th 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.