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Above-Knee Pelvic Control Belt, Light

Massachusetts rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Rates data updated July 2026.

How much does Above-Knee Pelvic Control Belt, Light cost?

$166

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $138 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$166$83.18 to $166
FacilityA hospital or hospital-owned outpatient department$138$100 to $331

How much rates vary

Facilitymedian $138 · 10th to 90th $83 to $589Professionalmedian $166 · 10th to 90th $81 to $251
$100$200$500$1K$2K$5Kfacility $138professional $166

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$263.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$1,023.29
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$251.19
Health New England
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$1,023.29
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$165.96

Where Massachusetts sits

The same service costs 4.0 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.

Massachusetts· 3rd of 51

$166

HI $295DE $74.13

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.