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Hip Disarticulation, Canadian Type, Molded Socket

Kentucky 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?

$3,388

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $4,365 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 6 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$3,388$3,090 to $3,715
FacilityA hospital or hospital-owned outpatient department$4,365$2,951 to $6,607

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,951 to $9,772Professionalmedian $3,388 · 10th to 90th $2,818 to $4,677
$2K$5K$10K$20Kfacility $4,365professional $3,388

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
$2,951.21
Median
$2,951.21
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$4,677.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$6,309.57
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,715.35
Typical High
$3,801.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,317.64
Typical High
$10,964.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$7,762.47
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,772.37
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,897.79
Typical High
$35,481.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,168.69
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,365.16
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,235.94
Typical High
$4,786.30

Where Kentucky 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.

Kentucky· 39th of 51

$3,388

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.