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Medial Opening Socket, Symes

Hawaii rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Rates data updated July 2026.

How much does Medial Opening Socket, Symes cost?

$331

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $331 for this service. Most negotiated rates run $209 to $331.

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.

How much rates vary

Facilitymedian $209 · 10th to 90th $195 to $257Professionalmedian $331 · 10th to 90th $151 to $347
$200$500facility $209professional $331

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$407.38
HMSA
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$407.38

Where Hawaii sits

The same service costs 2.6 times more in South Dakota than in Delaware. 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.

Hawaii· 4th of 51

$331

SD $363DE $138

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.