go back

Polycentric Hip Joint, Pneumatic or Hydraulic Control

Colorado rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Rates data updated October 2026.

How much does Polycentric Hip Joint, Pneumatic or Hydraulic Control cost?

$3,090

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $3,802 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,090$2,692 to $4,365
FacilityA hospital or hospital-owned outpatient department$3,802$3,715 to $6,607

How much rates vary

Facilitymedian $3,802 · 10th to 90th $3,090 to $12,023Professionalmedian $3,090 · 10th to 90th $2,455 to $8,128
$1K$2K$5K$10Kfacility $3,802professional $3,090

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
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$3,090.30
Typical High
$3,311.31
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$6,606.93
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$3,548.13
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,715.35
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,801.89
Typical High
$7,244.36
Denver HMP
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$8,128.31
Typical High
$12,302.69
Select Health
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$11,481.54
Typical High
$13,182.57
Select Health
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$6,309.57
Typical High
$7,762.47
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,570.40
Typical High
$3,981.07
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$354.81
Median
$3,548.13
Typical High
$3,548.13
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53

Where Colorado sits

The same service costs 2.7 times more in Hawaii than in Vermont. 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.

Colorado· 41st of 51

$3,090

HI $7,244VT $2,692

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.