go back

Pelvic Control, Hip Joint, Heavy-Duty

Pennsylvania 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?

$166

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $347 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$166$141 to $209
FacilityA hospital or hospital-owned outpatient department$347$141 to $537

How much rates vary

Facilitymedian $347 · 10th to 90th $141 to $1,259Professionalmedian $166 · 10th to 90th $138 to $288
$100$500$2K$10K$50Kfacility $347professional $166

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
$141.25
Median
$141.25
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$251.19
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$346.74
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
$186.21
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$776.25
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$346.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$537.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$316.23
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,230.27
Typical High
$1,995.26
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$354.81

Where Pennsylvania 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.

Pennsylvania· 42nd of 51

$166

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.