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Hip Disarticulation, Canadian Type, Molded Socket

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $6,310 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 8 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$3,548$3,311 to $4,365
FacilityA hospital or hospital-owned outpatient department$6,310$4,266 to $6,310

How much rates vary

Facilitymedian $6,310 · 10th to 90th $3,311 to $7,943Professionalmedian $3,548 · 10th to 90th $2,884 to $6,166
$2K$5K$10Kfacility $6,310professional $3,548

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
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,760.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$7,943.28
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$6,309.57
Typical High
$8,912.51
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,168.69
Typical High
$6,309.57
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,466.84
Typical High
$8,317.64
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,981.07
Typical High
$4,168.69
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,128.61
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,128.61
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,677.35
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,090.30
Typical High
$4,897.79

Where Virginia 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.

Virginia· 26th 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.