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Test Socket, Above-Knee

South Dakota 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?

$427

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $447 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$427$380 to $562
FacilityA hospital or hospital-owned outpatient department$447$372 to $562

How much rates vary

Facilitymedian $447 · 10th to 90th $316 to $851Professionalmedian $427 · 10th to 90th $339 to $692
$200$500$1K$2Kfacility $447professional $427

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$691.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$478.63
Midlands
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$776.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$331.13
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$331.13
Typical High
$562.34
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52

Where South Dakota 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.

South Dakota· 6th of 51

$427

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.