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Preparatory Above-Knee/Knee Disarticulation, Molded

North Carolina rates for HCPCS L5580

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model

Rates data updated July 2026.

How much does Preparatory Above-Knee/Knee Disarticulation, Molded cost?

$2,089

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $2,188 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$2,089$1,660 to $2,188
FacilityA hospital or hospital-owned outpatient department$2,188$1,905 to $3,090

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,288 to $5,623Professionalmedian $2,089 · 10th to 90th $1,259 to $2,188
$10.0$100.0$1.0K$10.0Kfacility $2,188professional $2,089

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
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,089.30
Typical High
$2,089.30
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,168.69
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,949.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,698.24
Typical High
$1,905.46
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,344.23
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$2,187.76
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$23,442.29

Where North Carolina sits

The same service costs 3.3 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $2,089 · 16th of 51
HI $4,169DE $1,259

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.