go back

Test Socket, Hemipelvectomy

Utah rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

How much does Test Socket, Hemipelvectomy cost?

$363

Typical negotiated rate. In Utah, July 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 $288 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 7 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$363$269 to $617
FacilityA hospital or hospital-owned outpatient department$288$186 to $575

How much rates vary

Facilitymedian $288 · 10th to 90th $186 to $575Professionalmedian $363 · 10th to 90th $186 to $2,512
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $288professional $363

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
$186.21
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$426.58
Typical High
$549.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$575.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$812.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$575.44
Typical High
$741.31
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$446.68

Where Utah 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.

Utah $363 · 31st 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.