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Pelvic Control, Hip Joint, Heavy-Duty

New York 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?

$191

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $302 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 9 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$191$182 to $269
FacilityA hospital or hospital-owned outpatient department$302$174 to $407

How much rates vary

Facilitymedian $302 · 10th to 90th $166 to $617Professionalmedian $191 · 10th to 90th $145 to $537
$100$500$2K$10K$50Kfacility $302professional $191

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
$173.78
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$190.55
Typical High
$575.44
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$331.13
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$199.53
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$1,584.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$776.25
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$316.23
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$257.04
Typical High
$302.00
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$269.15
Typical High
$645.65
Univera
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$316.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$257.04
Typical High
$302.00

Where New York 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 York· 24th of 51

$191

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.