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Ischial Containment/Narrow Medial-Lateral Socket

North Carolina rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Rates data updated July 2026.

How much does Ischial Containment/Narrow Medial-Lateral Socket cost?

$2,138

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $2,138 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$2,138$1,445 to $2,188
FacilityA hospital or hospital-owned outpatient department$2,138$1,698 to $2,951

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,175 to $4,467Professionalmedian $2,138 · 10th to 90th $1,230 to $2,188
$1K$2K$5K$10Kfacility $2,138professional $2,138

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
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,137.96
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,265.80
Typical High
$5,754.40
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
$1,288.25
Median
$1,819.70
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,187.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,445.44
Typical High
$1,584.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,187.76
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,819.70
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$1,949.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$16,982.44

Where North Carolina sits

The same service costs 2.6 times more in Minnesota 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· 8th of 51

$2,138

MN $2,951DE $1,122

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.