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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Kentucky 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?

$52.48

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $58.88 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$52.48$51.29 to $57.54
FacilityA hospital or hospital-owned outpatient department$58.88$58.88 to $123

How much rates vary

Facilitymedian $59 · 10th to 90th $40 to $158Professionalmedian $52 · 10th to 90th $45 to $71
$0.1$1.0$10.0$100.0facility $59professional $52

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
$58.88
Median
$58.88
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$53.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$81.28
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$72.44

Where Kentucky 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.

Kentucky $52.48 · 35th 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.