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Ischial Containment/Narrow Medial-Lateral Socket

Tennessee 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?

$1,514

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,413 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$1,413$1,288 to $2,188
FacilityA hospital or hospital-owned outpatient department$1,820$1,820 to $1,820

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,148 to $1,820Professionalmedian $1,413 · 10th to 90th $1,230 to $14,791
$1K$2K$5K$10Kfacility $1,820professional $1,413

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$602.56
Median
$616.60
Typical High
$691.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$245.47
Typical High
$275.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$181.97
Median
$186.21
Typical High
$208.93
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$123.03
Median
$123.03
Typical High
$138.04
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,819.70
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$14,791.08
Median
$17,378.01
Typical High
$17,378.01
United
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,380.38
Typical High
$1,698.24

Where Tennessee 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.

Tennessee· 37th of 51

$1,514

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.