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Thigh Lacer, Nonmolded, Below-Knee

North Carolina rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Rates data updated July 2026.

How much does Thigh Lacer, Nonmolded, Below-Knee cost?

$295

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $309 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$295$219 to $302
FacilityA hospital or hospital-owned outpatient department$309$257 to $427

How much rates vary

Facilitymedian $309 · 10th to 90th $182 to $692Professionalmedian $295 · 10th to 90th $178 to $302
$200$500$1Kfacility $309professional $295

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
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$295.12
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$275.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$281.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,548.13

Where North Carolina sits

The same service costs 2.3 times more in South Dakota than in Nevada. 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· 14th of 51

$295

SD $427NV $182

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.