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Heel, Thomas with Wedge

North Carolina rates for HCPCS L3465

Heel, Thomas with wedge

Rates data updated July 2026.

How much does Heel, Thomas with Wedge cost?

$53.70

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $61.66 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 6 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$53.70$36.31 to $61.66
FacilityA hospital or hospital-owned outpatient department$61.66$38.90 to $74.13

How much rates vary

Facilitymedian $62 · 10th to 90th $28 to $117Professionalmedian $54 · 10th to 90th $30 to $62
$20$50$100$200facility $62professional $54

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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$61.66
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$104.71
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$38.90
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$40.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$35.48
Typical High
$45.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$61.66
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$57.54
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$48.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$512.86

Where North Carolina sits

The same service costs 2.5 times more in Minnesota 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· 11th of 51

$53.70

MN $70.79DC $28.18

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.