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Hip Disarticulation, Canadian Type, Molded Socket

New York 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?

$3,802

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,802 from a physician practice, and about $4,169 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 9 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$3,802$3,236 to $5,495
FacilityA hospital or hospital-owned outpatient department$4,169$3,162 to $6,918

How much rates vary

Facilitymedian $4,169 · 10th to 90th $2,884 to $10,233Professionalmedian $3,802 · 10th to 90th $2,692 to $10,000
$2K$5K$10K$20K$50Kfacility $4,169professional $3,802

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
$3,019.95
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,235.94
Typical High
$5,011.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$11,481.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,495.41
Typical High
$5,495.41
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$4,466.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,220.18
Typical High
$26,302.68
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$7,079.46
Typical High
$12,882.50
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,311.31
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$4,265.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$6,456.54
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,466.84
Typical High
$11,220.18
Univera
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,801.89
Typical High
$3,981.07
Univera
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$4,265.80

Where New York 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 York· 31st of 51

$3,802

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.