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Below-Knee Amputation With Immediate Cast

North Carolina rates for HCPCS 27881

Removes the leg through the two bones of the lower leg, below the knee, shaping a stump that can later carry an artificial limb. A rigid cast is applied straight away in the operating room to control swelling, protect the stump and allow early fitting of a prosthesis. Keeping the knee joint makes walking with an artificial limb considerably easier.

Rates data updated July 2026.

How much does Below-Knee Amputation With Immediate Cast cost?

$1,380

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,380 for this service. Most negotiated rates run $1,000 to $3,236.

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.

How much rates vary

Facilitymedian $1,380 · 10th to 90th $832 to $9,333Professionalmedian $1,479 · 10th to 90th $1,479 to $1,995
$1K$2K$5K$10K$20Kfacility $1,380professional $1,479

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
$831.76
Median
$2,089.30
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,348.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,995.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$13,803.84
Typical High
$23,442.29
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$9,332.54
Typical High
$9,332.54

Where North Carolina sits

The same service costs 14.1 times more in Indiana than in North Dakota. 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.

North Carolina· 45th of 50

$1,380

IN $12,023ND $851

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.