go back

Ischial Containment/Narrow Medial-Lateral Socket

New Jersey rates for HCPCS L5649

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

Rates data updated October 2026.

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

$1,318

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $1,820 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$1,000 to $2,344
FacilityA hospital or hospital-owned outpatient department$1,820$891 to $1,820

How much rates vary

Facilitymedian $1,820 · 10th to 90th $871 to $2,344Professionalmedian $1,318 · 10th to 90th $832 to $2,344
$1K$2Kfacility $1,820professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$416.87
Median
$416.87
Typical High
$537.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$169.82
Median
$169.82
Typical High
$213.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$83.18
Median
$83.18
Typical High
$107.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,819.70
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$3,019.95
Typical High
$3,019.95
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,148.15
Typical High
$2,630.27
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$2,238.72

Where New Jersey sits

The same service costs 2.3 times more in Wisconsin than in Pennsylvania. 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.

New Jersey· 44th of 51

$1,318

WI $2,951PA $1,288

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.