go back

Ischial Containment/Narrow Medial-Lateral Socket

Virginia 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?

$1,660

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $2,455 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 8 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$1,380$1,259 to $1,778
FacilityA hospital or hospital-owned outpatient department$2,455$1,585 to $2,455

How much rates vary

Facilitymedian $2,455 · 10th to 90th $1,259 to $3,090Professionalmedian $1,380 · 10th to 90th $1,202 to $2,455
$1K$2K$5K$10Kfacility $2,455professional $1,380

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
$1,258.93
Median
$1,258.93
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$1,445.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,570.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$3,548.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,454.71
Typical High
$3,388.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,584.89
Typical High
$2,398.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,737.80
Typical High
$2,951.21
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,348.96
Typical High
$1,584.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$5,011.87
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,698.24
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,230.27
Typical High
$1,862.09

Where Virginia 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.

Virginia· 22nd of 51

$1,660

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.