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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Utah 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?

$3,162

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $3,236 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 7 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$3,020$2,138 to $4,898
FacilityA hospital or hospital-owned outpatient department$3,236$1,549 to $4,786

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,549 to $4,786Professionalmedian $3,020 · 10th to 90th $1,549 to $28,184
$2K$5K$10K$20Kfacility $3,236professional $3,020

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
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,137.96
Typical High
$28,183.83
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
$2,630.27
Median
$2,630.27
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$3,548.13
Typical High
$4,570.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,786.30
Typical High
$4,786.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,467.37
Typical High
$6,025.60
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,897.79
Typical High
$5,495.41
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,897.79
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,235.94
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$3,715.35

Where Utah 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.

Utah· 22nd of 51

$3,162

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.