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All Lower Extremity Prostheses, Foot, Multiaxial Ankle/Foot

North Carolina rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Rates data updated July 2026.

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

$263

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $282 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$263$195 to $269
FacilityA hospital or hospital-owned outpatient department$282$245 to $389

How much rates vary

Facilitymedian $282 · 10th to 90th $162 to $692Professionalmedian $263 · 10th to 90th $158 to $275
$200$500$1Kfacility $282professional $263

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
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$234.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$302.00
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$269.15
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53

Where North Carolina sits

The same service costs 4.2 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· 17th of 51

$263

HI $646DE $155

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.