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Hip Disarticulation, Canadian Type, Molded Socket

South Dakota 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?

$6,918

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $6,918 for this service. The price depends on where it is billed: about $6,918 from a physician practice, and about $7,413 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$6,918$5,623 to $7,762
FacilityA hospital or hospital-owned outpatient department$7,413$5,623 to $9,550

How much rates vary

Facilitymedian $7,413 · 10th to 90th $4,786 to $15,136Professionalmedian $6,918 · 10th to 90th $5,012 to $9,772
$5K$10K$20K$50Kfacility $7,413professional $6,918

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,623.41
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$9,772.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$7,762.47
Typical High
$20,892.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$5,011.87
Typical High
$45,708.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$7,762.47
Typical High
$7,762.47
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$7,943.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31

Where South Dakota 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.

South Dakota· 3rd of 51

$6,918

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.