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Kyphosis Pad for CTLSO or Scoliosis Orthosis

South Dakota rates for HCPCS L1020

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad

Rates data updated July 2026.

How much does Kyphosis Pad for CTLSO or Scoliosis Orthosis cost?

$93.33

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $97.72 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$93.33$66.07 to $132
FacilityA hospital or hospital-owned outpatient department$97.72$89.13 to $112

How much rates vary

Facilitymedian $98 · 10th to 90th $66 to $151Professionalmedian $93 · 10th to 90th $62 to $186
$50.0$100.0$200.0$500.0facility $98professional $93

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. Small sample; interpret with caution. 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
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$107.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$173.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$74.13
Typical High
$151.36
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72

Where South Dakota sits

The same service costs 4.7 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $93.33 · 8th of 51
HI $186DC $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.