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Test Socket, Hemipelvectomy

Kentucky rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

How much does Test Socket, Hemipelvectomy cost?

$347

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $437 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$347$302 to $380
FacilityA hospital or hospital-owned outpatient department$437$288 to $661

How much rates vary

Facilitymedian $437 · 10th to 90th $288 to $912Professionalmedian $347 · 10th to 90th $275 to $447
$1.0$10.0$100.0$1.0Kfacility $437professional $347

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
$288.40
Median
$288.40
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$389.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$831.76
Typical High
$1,071.52
CareSource
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$3,235.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$389.05
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$446.68

Where Kentucky 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.

Kentucky $347 · 38th 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.