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Test Socket, Hemipelvectomy

Illinois rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

How much does Test Socket, Hemipelvectomy cost?

$407

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $794 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$389$380 to $631
FacilityA hospital or hospital-owned outpatient department$794$380 to $1,380

How much rates vary

Facilitymedian $794 · 10th to 90th $380 to $3,981Professionalmedian $389 · 10th to 90th $302 to $851
$200$500$1K$2K$5Kfacility $794professional $389

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
$380.19
Median
$380.19
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,513.56
Typical High
$5,370.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$776.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,148.15
Typical High
$1,412.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$630.96

Where Illinois sits

The same service costs 2.7 times more in Minnesota 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.

Illinois· 19th of 51

$407

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.