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Test Socket, Hemipelvectomy

Illinois rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated October 2026.

How much does Test Socket, Hemipelvectomy cost?

$437

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $1,072 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$380 to $708
FacilityA hospital or hospital-owned outpatient department$1,072$871 to $1,820

How much rates vary

Facilitymedian $1,072 · 10th to 90th $501 to $4,467Professionalmedian $407 · 10th to 90th $339 to $1,096
$200$500$1K$2K$5K$10Kfacility $1,072professional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$630.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$190.55
Typical High
$316.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$75.86
Median
$75.86
Typical High
$125.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$57.54
Median
$57.54
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.02
Median
$38.02
Typical High
$63.10
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,288.25
Typical High
$5,370.32
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$933.25
Typical High
$1,380.38
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$645.65
United
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$794.33
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$389.05
Typical High
$912.01

Where Illinois sits

The same service costs 2.3 times more in Wisconsin than in Florida. 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.

Illinois· 22nd of 51

$437

WI $776FL $339

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.