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Replacement Socket, Shoulder or Interscapular-Thoracic

Utah 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?

$2,399

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $2,512 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$2,399$1,660 to $4,266
FacilityA hospital or hospital-owned outpatient department$2,512$1,230 to $3,802

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,230 to $3,802Professionalmedian $2,399 · 10th to 90th $1,230 to $22,387
$2K$5K$10K$20Kfacility $2,512professional $2,399

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
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,818.38
Typical High
$3,548.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,801.89
Typical High
$3,801.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$5,754.40
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,890.45
Typical High
$5,248.07
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,570.40
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,905.46
Typical High
$2,951.21

Where Utah 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.

Utah· 25th of 51

$2,399

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.