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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Illinois rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Rates data updated July 2026.

How much does Preparatory Hip/Hemipelvectomy, Thermoplastic Socket cost?

$2,884

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $5,623 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$2,884$2,754 to $4,677
FacilityA hospital or hospital-owned outpatient department$5,623$2,754 to $10,000

How much rates vary

Facilitymedian $5,623 · 10th to 90th $2,754 to $28,840Professionalmedian $2,884 · 10th to 90th $2,291 to $6,166
$2K$5K$10K$20K$50Kfacility $5,623professional $2,884

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
$2,754.23
Median
$2,754.23
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,715.19
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$5,623.41
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$8,912.51
Typical High
$10,715.19
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
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,466.84
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$4,897.79

Where Illinois sits

The same service costs 5.2 times more in Hawaii than in Nebraska. 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· 30th of 51

$2,884

HI $11,220NE $2,138

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.