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Exoskeletal Below-Knee System, Ultra-Light

North Carolina rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Rates data updated July 2026.

How much does Exoskeletal Below-Knee System, Ultra-Light cost?

$575

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $575 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$575$389 to $589
FacilityA hospital or hospital-owned outpatient department$575$437 to $794

How much rates vary

Facilitymedian $575 · 10th to 90th $324 to $1,230Professionalmedian $575 · 10th to 90th $324 to $589
$200$500$1K$2Kfacility $575professional $575

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
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$575.44
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$512.86
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$4,677.35

Where North Carolina sits

The same service costs 2.6 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· 11th of 51

$575

HI $724DE $282

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.