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Socket Insert, Congenital or Atypical Traumatic Amputee

Illinois rates for HCPCS L5681

Addition to lower extremity, below knee (BK)/above knee (AK), custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L5673 or L5679)

Rates data updated October 2026.

How much does Socket Insert, Congenital or Atypical Traumatic Amputee cost?

$1,096

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $2,239 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,023$794 to $1,318
FacilityA hospital or hospital-owned outpatient department$2,239$1,905 to $4,169

How much rates vary

Facilitymedian $2,239 · 10th to 90th $891 to $9,333Professionalmedian $1,023 · 10th to 90th $661 to $1,862
$1K$2K$5K$10K$20Kfacility $2,239professional $1,023

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
$794.33
Median
$794.33
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$389.05
Median
$389.05
Typical High
$645.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$158.49
Median
$158.49
Typical High
$257.04
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$117.49
Median
$117.49
Typical High
$194.98
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$79.43
Median
$79.43
Typical High
$128.82
BCBS
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$891.25
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$2,238.72
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,318.26
United
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$2,290.87
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$794.33
Typical High
$1,862.09

Where Illinois sits

The same service costs 2.6 times more in Montana 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.

Illinois· 21st of 51

$1,096

MT $1,660DE $646

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.