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Orbital Prosthesis, Provided by a Nonphysician

North Carolina rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Rates data updated July 2026.

How much does Orbital Prosthesis, Provided by a Nonphysician cost?

$2,951

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $2,951 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$2,951$2,512 to $3,020
FacilityA hospital or hospital-owned outpatient department$2,951$2,188 to $4,074

How much rates vary

Facilitymedian $2,951 · 10th to 90th $1,230 to $5,888Professionalmedian $2,951 · 10th to 90th $1,820 to $3,020
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $2,951professional $2,951

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
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,951.21
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,981.07
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,235.94
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,311.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$2,691.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,235.94
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,570.40
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$2,818.38
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$33,113.11

Where North Carolina sits

The same service costs 5.8 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $2,951 · 12th of 51
HI $10,000NE $1,738

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.