go back

Polycentric Hip Joint, Pneumatic or Hydraulic Control

Virginia 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?

$3,388

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $5,623 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 8 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$2,884$2,884 to $3,548
FacilityA hospital or hospital-owned outpatient department$5,623$3,802 to $5,623

How much rates vary

Facilitymedian $5,623 · 10th to 90th $2,884 to $6,026Professionalmedian $2,884 · 10th to 90th $2,455 to $5,248
$2K$5K$10Kfacility $5,623professional $2,884

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
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,884.03
Typical High
$3,090.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$7,413.10
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,623.41
Typical High
$7,762.47
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,890.45
Typical High
$6,456.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,235.94
Typical High
$3,630.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,570.88
Typical High
$9,120.11
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,570.88
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,754.23
Typical High
$4,365.16

Where Virginia 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.

Virginia· 23rd of 51

$3,388

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.