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Replacement Socket, Shoulder or Interscapular-Thoracic

Illinois rates for HCPCS L6885

Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power

Rates data updated July 2026.

How much does Replacement Socket, Shoulder or Interscapular-Thoracic cost?

$2,570

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,512 from a physician practice, and about $5,248 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 5 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$2,512$2,399 to $4,266
FacilityA hospital or hospital-owned outpatient department$5,248$2,512 to $9,333

How much rates vary

Facilitymedian $5,248 · 10th to 90th $2,512 to $26,303Professionalmedian $2,512 · 10th to 90th $1,820 to $5,623
$2K$5K$10K$20K$50Kfacility $5,248professional $2,512

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
$2,511.89
Median
$2,511.89
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,511.89
Typical High
$5,248.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,000.00
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$5,011.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$6,309.57
Typical High
$7,413.10
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
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,168.69
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$4,265.80

Where Illinois sits

The same service costs 4.5 times more in Hawaii than in Nebraska. 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· 22nd of 51

$2,570

HI $7,413NE $1,660

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.