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Insert for Indwelling Tracheo-Esophageal Prosthesis

North Carolina rates for HCPCS L8511

Insert for indwelling tracheo-esophageal prosthesis, with or without valve, replacement only, each

Rates data updated July 2026.

How much does Insert for Indwelling Tracheo-Esophageal Prosthesis cost?

$66.07

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $89.13 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$66.07$50.12 to $67.61
FacilityA hospital or hospital-owned outpatient department$89.13$66.07 to $123

How much rates vary

Facilitymedian $89 · 10th to 90th $46 to $126Professionalmedian $66 · 10th to 90th $39 to $72
$50$100$200facility $89professional $66

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
$66.07
Median
$120.23
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$66.07
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$69.18
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$72.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$57.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$72.44
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$61.66
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$645.65

Where North Carolina sits

The same service costs 2.3 times more in Wisconsin 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· 14th of 51

$66.07

WI $89.13DE $38.02

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.