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Test Socket, Hemipelvectomy

Hawaii rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

How much does Test Socket, Hemipelvectomy cost?

$603

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $603 for this service. Most negotiated rates run $447 to $603.

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.

How much rates vary

Facilitymedian $457 · 10th to 90th $380 to $501Professionalmedian $603 · 10th to 90th $219 to $631
$200.0$500.0$1.0Kfacility $457professional $603

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
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$741.31
HMSA
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$389.05
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$741.31

Where Hawaii sits

The same service costs 2.7 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $603 · 5th of 51
MN $776DE $288

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.