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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 October 2026.

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

$3,236

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $7,586 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,951$2,754 to $5,495
FacilityA hospital or hospital-owned outpatient department$7,586$6,166 to $12,882

How much rates vary

Facilitymedian $7,586 · 10th to 90th $3,548 to $32,359Professionalmedian $2,951 · 10th to 90th $2,512 to $7,943
$2K$5K$10K$20K$50Kfacility $7,586professional $2,951

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$549.54
Median
$549.54
Typical High
$912.01
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$407.38
Median
$407.38
Typical High
$676.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$275.42
Median
$275.42
Typical High
$446.68
BCBS
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$9,332.54
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,548.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$6,918.31
Typical High
$10,715.19
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Molina
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,677.35
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$5,623.41
Typical High
$7,943.28
United
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,754.23
Typical High
$6,456.54

Where Illinois sits

The same service costs 4.3 times more in Hawaii than in West Virginia. 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· 26th of 51

$3,236

HI $11,220WV $2,630

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.