go back

Hip Disarticulation, Canadian Type, Molded Socket

Montana 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?

$6,457

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $6,026 from a physician practice, and about $7,586 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 5 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$6,026$3,631 to $7,586
FacilityA hospital or hospital-owned outpatient department$7,586$6,026 to $8,128

How much rates vary

Facilitymedian $7,586 · 10th to 90th $4,786 to $9,550Professionalmedian $6,026 · 10th to 90th $1,995 to $14,791
$100$500$2K$10Kfacility $7,586professional $6,026

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
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$5,248.07
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$8,128.31
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$8,128.31
Typical High
$8,128.31
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$7,585.78
Typical High
$14,791.08
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,585.78
Typical High
$14,791.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,244.36
Typical High
$9,332.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$6,165.95
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,677.35
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,090.30
Typical High
$4,786.30

Where Montana 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.

Montana· 9th of 51

$6,457

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.