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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

North Carolina 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?

$3,802

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,802 from a physician practice, and about $3,890 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$3,802$2,692 to $3,890
FacilityA hospital or hospital-owned outpatient department$3,890$3,548 to $5,495

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,344 to $9,550Professionalmedian $3,802 · 10th to 90th $2,291 to $3,890
$2K$5K$10K$20Kfacility $3,890professional $3,802

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
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,801.89
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,585.78
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,548.13
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$4,677.35
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,398.83
Typical High
$3,388.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,168.69
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,168.69
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,570.40
Typical High
$3,715.35
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$26,302.68
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$45,708.82
Median
$45,708.82
Typical High
$45,708.82

Where North Carolina 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.

North Carolina· 15th of 51

$3,802

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.