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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Kentucky 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?

$2,692

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $3,548 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$2,692$2,512 to $2,884
FacilityA hospital or hospital-owned outpatient department$3,548$2,399 to $5,495

How much rates vary

Facilitymedian $3,548 · 10th to 90th $2,399 to $7,586Professionalmedian $2,692 · 10th to 90th $2,291 to $3,631
$2K$5K$10K$20Kfacility $3,548professional $2,692

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
$2,398.83
Median
$2,398.83
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,248.07
Typical High
$5,495.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,884.03
Typical High
$2,951.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,918.31
Typical High
$8,912.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$6,309.57
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$7,585.78
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,073.80
Typical High
$26,915.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,691.53
Typical High
$3,715.35

Where Kentucky 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.

Kentucky· 39th of 51

$2,692

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.