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All Lower Extremity Prostheses, Foot, Single Axis Ankle/Foot

North Carolina rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Rates data updated July 2026.

How much does All Lower Extremity Prostheses, Foot, Single Axis Ankle/Foot cost?

$209

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $229 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$209$174 to $214
FacilityA hospital or hospital-owned outpatient department$229$195 to $316

How much rates vary

Facilitymedian $229 · 10th to 90th $129 to $562Professionalmedian $209 · 10th to 90th $126 to $219
$1.0$10.0$100.0$1.0K$10.0Kfacility $229professional $209

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
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$213.80
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76

Where North Carolina sits

The same service costs 3.8 times more in Hawaii than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $209 · 16th of 51
HI $525TN $138

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.