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Pelvic Control, Hip Joint, Heavy-Duty

North Carolina rates for HCPCS L2620

Addition to lower extremity, pelvic control, hip joint, heavy-duty, each

Rates data updated July 2026.

How much does Pelvic Control, Hip Joint, Heavy-Duty cost?

$234

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $263 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$229$166 to $263
FacilityA hospital or hospital-owned outpatient department$263$186 to $347

How much rates vary

Facilitymedian $263 · 10th to 90th $138 to $603Professionalmedian $229 · 10th to 90th $138 to $263
$100$200$500$1Kfacility $263professional $229

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
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$199.53
Medcost
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$229.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$223.87
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,019.95

Where North Carolina sits

The same service costs 4.1 times more in Hawaii than in Washington, DC. 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· 15th of 51

$234

HI $562DC $138

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.