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Polycentric Hip Joint, Pneumatic or Hydraulic Control

Illinois 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 July 2026.

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

$3,090

Typical negotiated rate. In Illinois, July 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 $4,677 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 6 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$3,090$2,884 to $4,898
FacilityA hospital or hospital-owned outpatient department$4,677$2,884 to $7,943

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,884 to $15,849Professionalmedian $3,090 · 10th to 90th $2,570 to $6,026
$2K$5K$10K$20K$50Kfacility $4,677professional $3,090

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
$2,884.03
Median
$2,884.03
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,884.03
Typical High
$5,888.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$9,549.93
Typical High
$56,234.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,456.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$6,456.54
Typical High
$8,128.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,677.35
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,884.03
Typical High
$4,786.30

Where Illinois sits

The same service costs 2.5 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.

Illinois· 30th of 51

$3,090

SD $6,026DE $2,455

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.