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Hip Disarticulation, Canadian Type, Molded Socket

Iowa rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Rates data updated July 2026.

How much does Hip Disarticulation, Canadian Type, Molded Socket cost?

$5,248

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $5,754 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$4,677$3,311 to $5,754
FacilityA hospital or hospital-owned outpatient department$5,754$5,495 to $10,000

How much rates vary

Facilitymedian $5,754 · 10th to 90th $4,365 to $17,378Professionalmedian $4,677 · 10th to 90th $2,692 to $8,318
$2K$5K$10K$20Kfacility $5,754professional $4,677

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
$3,715.35
Median
$5,623.41
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$7,762.47
Typical High
$9,772.37
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,079.46
Typical High
$8,317.64
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,120.11
Typical High
$33,113.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,677.35
Typical High
$11,748.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$8,128.31
Typical High
$9,772.37
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$11,748.98
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,128.61
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,981.07
Typical High
$6,760.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,918.31
Typical High
$6,918.31

Where Iowa sits

The same service costs 4.1 times more in Hawaii 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.

Iowa· 13th of 51

$5,248

HI $11,220DE $2,754

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.