go back

Sacroiliac Orthosis, Flexible, Off-the-Shelf

Kansas rates for HCPCS L0621

Sacroiliac orthosis (SO), flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Sacroiliac Orthosis, Flexible, Off-the-Shelf cost?

$115

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $75.86 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$115$57.54 to $115
FacilityA hospital or hospital-owned outpatient department$75.86$60.26 to $135

How much rates vary

Facilitymedian $76 · 10th to 90th $33 to $145Professionalmedian $115 · 10th to 90th $46 to $115
$50$100$200facility $76professional $115

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
$70.79
Median
$70.79
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$67.61
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$67.61
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$66.07
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$64.57
Typical High
$91.20

Where Kansas sits

The same service costs 4.2 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.

Kansas· 2nd of 51

$115

HI $129DC $30.90

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.