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Test Socket, Above-Knee

Montana rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Rates data updated July 2026.

How much does Test Socket, Above-Knee cost?

$417

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $427 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$363$257 to $427
FacilityA hospital or hospital-owned outpatient department$427$363 to $457

How much rates vary

Facilitymedian $427 · 10th to 90th $309 to $617Professionalmedian $363 · 10th to 90th $141 to $832
$100$200$500$1K$2Kfacility $427professional $363

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
Professional
Modifier
Global
Typical Low
$141.25
Median
$363.08
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$457.09
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$831.76
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$831.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$436.52
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$346.74
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$331.13
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$218.78
Typical High
$338.84

Where Montana sits

The same service costs 2.6 times more in Hawaii than in Delaware. 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.

Montana· 7th of 51

$417

HI $562DE $219

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.