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Test Socket, Hemipelvectomy

New Jersey 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 New Jersey, 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 $219 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 5 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$263 to $479
FacilityA hospital or hospital-owned outpatient department$219$219 to $501

How much rates vary

Facilitymedian $219 · 10th to 90th $219 to $617Professionalmedian $347 · 10th to 90th $234 to $603
$200.0$500.0$1.0K$2.0Kfacility $219professional $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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$794.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$602.56

Where New Jersey 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.

New Jersey $347 · 41st 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.