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Leather Socket, Below-Knee

New York rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Rates data updated July 2026.

How much does Leather Socket, Below-Knee cost?

$380

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $468 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 9 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$372$331 to $562
FacilityA hospital or hospital-owned outpatient department$468$398 to $724

How much rates vary

Facilitymedian $468 · 10th to 90th $288 to $1,072Professionalmedian $372 · 10th to 90th $257 to $1,023
$200$1K$5K$20Kfacility $468professional $372

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
$257.04
Median
$309.03
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$446.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$1,148.15
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$588.84
Typical High
$588.84
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$501.19
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,174.90
Typical High
$2,754.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$1,348.96
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$489.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$467.74
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$467.74
Typical High
$1,148.15
Univera
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$436.52
Typical High
$489.78
Univera
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$467.74

Where New York sits

The same service costs 3.5 times more in Hawaii 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.

New York· 26th of 51

$380

HI $933DE $263

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.