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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 October 2026.

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

$3,548

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $4,365 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,548$2,884 to $3,548
FacilityA hospital or hospital-owned outpatient department$4,365$3,631 to $5,623

How much rates vary

Facilitymedian $4,365 · 10th to 90th $3,020 to $6,918Professionalmedian $3,548 · 10th to 90th $2,692 to $4,571
$5K$10K$20Kfacility $4,365professional $3,548

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
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,884.03
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$354.81
Median
$354.81
Typical High
$407.38
CareFirst
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$5,623.41
Typical High
$7,244.36
Medcost
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,890.45
Medcost
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$3,235.94
Typical High
$4,265.80
Sentara
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$4,265.80
Typical High
$9,120.11
Sentara
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$4,365.16
Typical High
$8,511.38
United
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$8,317.64
United
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,754.23
Typical High
$4,073.80
1 more rate 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
UE · Used equipment
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,884.03

Where Virginia 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.

Virginia· 30th of 51

$3,548

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.