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Test Socket, Hemipelvectomy

North Carolina rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

How much does Test Socket, Hemipelvectomy cost?

$457

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $501 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$457$363 to $468
FacilityA hospital or hospital-owned outpatient department$501$437 to $676

How much rates vary

Facilitymedian $501 · 10th to 90th $275 to $1,148Professionalmedian $457 · 10th to 90th $275 to $468
$1.0$10.0$100.0$1.0K$10.0Kfacility $501professional $457

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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$501.19
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$436.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$512.86
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$446.68
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,466.84

Where North Carolina 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.

North Carolina $457 · 14th 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.