go back

TLSO, Flexible, Sacrococcygeal to T-9, Off-the-Shelf

North Dakota rates for HCPCS L0455

Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, extends from sacrococcygeal junction to above T-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does TLSO, Flexible, Sacrococcygeal to T-9, Off-the-Shelf cost?

$282

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $309 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 5 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$282$214 to $309
FacilityA hospital or hospital-owned outpatient department$309$209 to $309

How much rates vary

Facilitymedian $309 · 10th to 90th $209 to $389Professionalmedian $282 · 10th to 90th $209 to $316
$100$200$500$1Kfacility $309professional $282

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
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$309.03
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$338.84

Where North Dakota sits

The same service costs 3.6 times more in Kansas than in Washington, DC. 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 Dakota· 5th of 51

$282

KS $417DC $115

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.