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Hip Disarticulation, Canadian Type, Molded Socket

New Jersey 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?

$3,311

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $2,455 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$3,311$2,754 to $5,495
FacilityA hospital or hospital-owned outpatient department$2,455$2,455 to $4,677

How much rates vary

Facilitymedian $2,455 · 10th to 90th $2,455 to $6,761Professionalmedian $3,311 · 10th to 90th $2,570 to $6,607
$2K$5K$10K$20Kfacility $2,455professional $3,311

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
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,365.16
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$4,365.16
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$6,309.57
Typical High
$8,912.51
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,786.30
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,073.80
Typical High
$6,456.54

Where New Jersey 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.

New Jersey· 44th of 51

$3,311

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.