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Hemipelvectomy, Canadian Type, Molded Socket

Illinois rates for HCPCS L5280

Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Rates data updated July 2026.

How much does Hemipelvectomy, Canadian Type, Molded Socket cost?

$3,890

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,631 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$3,631$3,631 to $6,166
FacilityA hospital or hospital-owned outpatient department$7,413$3,631 to $13,183

How much rates vary

Facilitymedian $7,413 · 10th to 90th $3,631 to $38,019Professionalmedian $3,631 · 10th to 90th $3,090 to $8,318
$2K$5K$10K$20K$50Kfacility $7,413professional $3,631

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
$3,630.78
Median
$3,630.78
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$7,413.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$14,125.38
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$12,589.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,025.60
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,309.57

Where Illinois sits

The same service costs 4.7 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.

Illinois· 28th of 51

$3,890

HI $12,882DE $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.