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Molded Distal Cushion, Below-Knee

North Carolina rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Rates data updated July 2026.

How much does Molded Distal Cushion, Below-Knee cost?

$100

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $100 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$100$74.13 to $105
FacilityA hospital or hospital-owned outpatient department$100$89.13 to $145

How much rates vary

Facilitymedian $100 · 10th to 90th $60 to $245Professionalmedian $100 · 10th to 90th $59 to $105
$50$100$200$500facility $100professional $100

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$93.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$81.28
Typical High
$81.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$95.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$954.99

Where North Carolina sits

The same service costs 3.2 times more in Hawaii 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· 15th of 51

$100

HI $186DE $57.54

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.