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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Illinois rates for HCPCS L1040

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

Rates data updated July 2026.

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

$54.95

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $110 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 6 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$54.95$52.48 to $91.20
FacilityA hospital or hospital-owned outpatient department$110$54.95 to $195

How much rates vary

Facilitymedian $110 · 10th to 90th $55 to $550Professionalmedian $55 · 10th to 90th $47 to $110
$0.1$1.0$10.0$100.0$1.0Kfacility $110professional $55

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
$54.95
Median
$54.95
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$107.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$147.91
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$87.10
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$89.13

Where Illinois sits

The same service costs 4.4 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.

Illinois $54.95 · 22nd of 51
HI $166DC $38.02

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.