go back

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

Kentucky 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?

$100

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $70.79 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$39.81 to $200
FacilityA hospital or hospital-owned outpatient department$70.79$52.48 to $138

How much rates vary

Facilitymedian $71 · 10th to 90th $52 to $186Professionalmedian $100 · 10th to 90th $39 to $339
$50$100$200$500facility $71professional $100

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
$63.10
Median
$63.10
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$63.10
Typical High
$93.33
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$138.04
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$117.49
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$29.51
Median
$29.51
Typical High
$63.10
CareSource
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$120.23
Typical High
$194.98
CareSource
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$186.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$52.48
Typical High
$616.60
Molina
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$107.15
Typical High
$141.25

Where Kentucky 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.

Kentucky· 22nd of 51

$100

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.