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Sacroiliac Orthosis, Rigid or Semi-Rigid, Off-the-Shelf

Illinois rates for HCPCS L0623

Sacroiliac orthosis (SO), provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated October 2026.

How much does Sacroiliac Orthosis, Rigid or Semi-Rigid, Off-the-Shelf cost?

$93.33

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $158 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$72.44 to $112
FacilityA hospital or hospital-owned outpatient department$158$72.44 to $257

How much rates vary

Facilitymedian $158 · 10th to 90th $52 to $891Professionalmedian $89 · 10th to 90th $52 to $229
$50$100$200$500$1Kfacility $158professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$117.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$93.33
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$169.82
Typical High
$1,380.38
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$52.48
Hally Health
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$158.49
Typical High
$263.03
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$107.15
Typical High
$251.19

Where Illinois sits

The same service costs 5.4 times more in Hawaii than in New Hampshire. 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.

Illinois· 28th of 51

$93.33

HI $214NH $39.81

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.