go back

Hip Disarticulation, Canadian Type, Molded Socket

North Carolina 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?

$4,677

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $4,898 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$4,677$3,311 to $4,786
FacilityA hospital or hospital-owned outpatient department$4,898$4,365 to $6,761

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,884 to $12,303Professionalmedian $4,677 · 10th to 90th $2,754 to $4,898
$2K$5K$10K$20Kfacility $4,898professional $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
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$4,677.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$9,332.54
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,365.16
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$4,677.35
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,388.44
Typical High
$4,168.69
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,248.07
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$4,786.30
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$33,884.42
Typical High
$33,884.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$50,118.72

Where North Carolina 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.

North Carolina· 16th of 51

$4,677

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.