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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

North Dakota 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?

$4,571

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,571 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 5 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$4,571$3,548 to $5,370
FacilityA hospital or hospital-owned outpatient department$3,548$3,548 to $4,677

How much rates vary

Facilitymedian $3,548 · 10th to 90th $3,548 to $6,026Professionalmedian $4,571 · 10th to 90th $2,884 to $5,888
$2K$5K$10K$20Kfacility $3,548professional $4,571

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
$3,548.13
Median
$3,548.13
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,548.13
Typical High
$24,547.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,370.32
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$6,456.54
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,677.35
Typical High
$10,471.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,715.35
Typical High
$6,456.54

Where North Dakota 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 Dakota· 10th of 51

$4,571

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.