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Lumbar Bolster Pad for CTLSO or Scoliosis Orthosis

Utah 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?

$42.66

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $35.48 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$42.66$32.36 to $72.44
FacilityA hospital or hospital-owned outpatient department$35.48$22.91 to $72.44

How much rates vary

Facilitymedian $35 · 10th to 90th $23 to $72Professionalmedian $43 · 10th to 90th $23 to $324
$50$100$200facility $35professional $43

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
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$42.66
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$52.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$67.61
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$72.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$83.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$72.44
Typical High
$75.86
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$35.48
Typical High
$54.95

Where Utah 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.

Utah· 39th of 51

$42.66

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.