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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

North Carolina 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?

$87.10

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $100 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$87.10$56.23 to $100
FacilityA hospital or hospital-owned outpatient department$100$61.66 to $120

How much rates vary

Facilitymedian $100 · 10th to 90th $43 to $195Professionalmedian $87 · 10th to 90th $45 to $100
$0.1$1.0$10.0$100.0$1.0Kfacility $100professional $87

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$100.00
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$74.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$50.12
Typical High
$63.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$100.00
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$66.07
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$75.86
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83

Where North Carolina 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.

North Carolina $87.10 · 6th 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.