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Hemipelvectomy, Canadian Type, Molded Socket

North Carolina rates for HCPCS L5280

Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Rates data updated July 2026.

How much does Hemipelvectomy, Canadian Type, Molded Socket cost?

$4,571

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $5,012 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$4,571$3,548 to $4,677
FacilityA hospital or hospital-owned outpatient department$5,012$4,365 to $6,918

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,754 to $12,303Professionalmedian $4,571 · 10th to 90th $2,754 to $4,898
$2K$5K$10K$20Kfacility $5,012professional $4,571

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
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,570.88
Typical High
$4,897.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$6,165.95
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,677.35
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$5,011.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,548.13
Typical High
$4,073.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,128.61
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$4,677.35
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$35,481.34
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18

Where North Carolina sits

The same service costs 4.7 times more in Hawaii than in Delaware. 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· 18th of 51

$4,571

HI $12,882DE $2,754

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.