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Polycentric Hip Joint, Pneumatic or Hydraulic Control

South Dakota 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?

$6,026

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $6,026 for this service. The price depends on where it is billed: about $6,026 from a physician practice, and about $6,026 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 7 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$6,026$4,786 to $6,607
FacilityA hospital or hospital-owned outpatient department$6,026$4,571 to $8,128

How much rates vary

Facilitymedian $6,026 · 10th to 90th $3,890 to $16,596Professionalmedian $6,026 · 10th to 90th $4,571 to $8,318
$2K$5K$10K$20Kfacility $6,026professional $6,026

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,786.30
Typical High
$6,025.60
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
$6,606.93
Median
$6,606.93
Typical High
$8,317.64
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$6,309.57
Typical High
$16,595.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,073.80
Typical High
$30,902.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,456.54
Typical High
$6,456.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$10,964.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$6,165.95
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,890.45
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$4,073.80
Typical High
$6,760.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44

Where South Dakota 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.

South Dakota· 1st of 51

$6,026

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.