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TLSO, Sagittal-Coronal Control, Rigid Frame, Custom Fitted

North Carolina rates for HCPCS L0468

Thoracic-lumbar-sacral orthosis (TLSO), sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

How much does TLSO, Sagittal-Coronal Control, Rigid Frame, Custom Fitted cost?

$479

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $525 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$447$295 to $513
FacilityA hospital or hospital-owned outpatient department$525$355 to $759

How much rates vary

Facilitymedian $525 · 10th to 90th $251 to $1,000Professionalmedian $447 · 10th to 90th $257 to $513
$200$500$1K$2Kfacility $525professional $447

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
$512.86
Median
$676.08
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$512.86
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$346.74
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$354.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$380.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$512.86
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$478.63
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$398.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,890.45

Where North Carolina sits

The same service costs 3.1 times more in Hawaii 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 Carolina· 11th of 51

$479

HI $708DC $229

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.