go back

Sacroiliac Orthosis, Flexible, Off-the-Shelf

South Carolina 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?

$53.70

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $60.26 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 7 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$51.29$41.69 to $77.62
FacilityA hospital or hospital-owned outpatient department$60.26$41.69 to $79.43

How much rates vary

Facilitymedian $60 · 10th to 90th $42 to $129Professionalmedian $51 · 10th to 90th $42 to $83
$50$100$200facility $60professional $51

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
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$85.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$72.44
Typical High
$151.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$72.44

Where South Carolina 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.

South Carolina· 30th of 51

$53.70

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.