go back

Endoskeletal Below-Knee System, Ultra-Light

North Carolina rates for HCPCS L5940

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

Rates data updated July 2026.

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

$447

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $479 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 7 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$447$347 to $457
FacilityA hospital or hospital-owned outpatient department$479$398 to $661

How much rates vary

Facilitymedian $479 · 10th to 90th $275 to $1,175Professionalmedian $447 · 10th to 90th $269 to $490
$200$500$1K$2Kfacility $479professional $447

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
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$446.68
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$467.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$501.19
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$467.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,897.79

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· 18th of 51

$447

HI $708DE $269

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.