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Hip Disarticulation, Canadian Type, Molded Socket

Michigan 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?

$3,890

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $8,511 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$3,890$3,311 to $6,761
FacilityA hospital or hospital-owned outpatient department$8,511$4,169 to $17,783

How much rates vary

Facilitymedian $8,511 · 10th to 90th $3,890 to $27,542Professionalmedian $3,890 · 10th to 90th $3,020 to $6,761
$100$1K$10Kfacility $8,511professional $3,890

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
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$3,890.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$20,417.38
Typical High
$38,904.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,760.83
Typical High
$7,079.46
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,365.16
Typical High
$7,762.47
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$12,882.50
Typical High
$14,454.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,370.32
Typical High
$8,317.64
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,623.41
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,495.41
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,235.94
Typical High
$4,786.30

Where Michigan 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.

Michigan· 23rd of 51

$3,890

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.