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Test Socket, Hemipelvectomy

Tennessee rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated October 2026.

How much does Test Socket, Hemipelvectomy cost?

$363

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $501 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$363$288 to $468
FacilityA hospital or hospital-owned outpatient department$501$501 to $501

How much rates vary

Facilitymedian $501 · 10th to 90th $263 to $501Professionalmedian $363 · 10th to 90th $257 to $3,631
$200$500$1K$2K$5Kfacility $501professional $363

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
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$263.03
Typical High
$371.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$128.82
Median
$131.83
Typical High
$181.97
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$74.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$38.90
Median
$39.81
Typical High
$54.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$25.70
Median
$26.30
Typical High
$37.15
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$4,570.88
United
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$288.40
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$302.00
Typical High
$436.52

Where Tennessee 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.

Tennessee· 43rd of 51

$363

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.