Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment
Rates data updated October 2026.
How much does TLSO, Triplanar Control, Rigid Frame, Prefabricated cost?
$1,413
Typical negotiated rate. In Hawaii, October 2026.
Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,349 to $1,445.
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.
How much rates vary
Facilitymedian $1,047 · 10th to 90th $513 to $1,047Professionalmedian $1,413 · 10th to 90th $1,202 to $1,445
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Professional
None
$281.84
$281.84
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$1,047.13
Typical High
$1,047.13
Facility
None
$512.86
$1,047.13
$1,047.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Professional
None
$1,445.44
$1,445.44
$1,445.44
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,412.54
Professional
None
$1,348.96
$1,348.96
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,348.96
Typical High
$1,737.80
Professional
None
$812.83
$1,348.96
$1,737.80
United
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,445.44
Typical High
$1,445.44
Professional
None
$912.01
$1,445.44
$1,445.44
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,258.93
Professional
None
$1,071.52
$1,096.48
$1,258.93
Where Hawaii sits
The same service costs 3.8 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.