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Lumbar Bolster Pad for CTLSO or Scoliosis Orthosis

South Dakota rates for HCPCS L1030

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

Rates data updated July 2026.

How much does Lumbar Bolster Pad for CTLSO or Scoliosis Orthosis cost?

$66.07

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $74.13 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$66.07$48.98 to $95.50
FacilityA hospital or hospital-owned outpatient department$74.13$66.07 to $83.18

How much rates vary

Facilitymedian $74 · 10th to 90th $49 to $110Professionalmedian $66 · 10th to 90th $45 to $138
$50$100$200$500facility $74professional $66

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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$48.98
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$51.29
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$79.43
Midlands
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$128.82
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$41.69
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$54.95
Typical High
$109.65
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44

Where South Dakota sits

The same service costs 3.2 times more in Minnesota 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 Dakota· 7th of 51

$66.07

MN $93.33DC $29.51

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.