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Pelvic Control, Hip Joint, Heavy-Duty

New Jersey rates for HCPCS L2620

Addition to lower extremity, pelvic control, hip joint, heavy-duty, each

Rates data updated July 2026.

How much does Pelvic Control, Hip Joint, Heavy-Duty cost?

$174

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $138 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 5 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$174$145 to $251
FacilityA hospital or hospital-owned outpatient department$138$138 to $204

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $407Professionalmedian $174 · 10th to 90th $138 to $398
$100$200$500$1Kfacility $138professional $174

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
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$186.21
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$186.21
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$537.03
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$389.05

Where New Jersey sits

The same service costs 4.1 times more in Hawaii than in Washington, DC. 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 Jersey· 36th of 51

$174

HI $562DC $138

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.