go back

Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

New Jersey 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 New Jersey, 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 $33.11 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 5 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$39.81 to $60.26
FacilityA hospital or hospital-owned outpatient department$33.11$30.20 to $66.07

How much rates vary

Facilitymedian $33 · 10th to 90th $30 to $89Professionalmedian $52 · 10th to 90th $35 to $87
$50.0$100.0$200.0$500.0facility $33professional $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
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$117.49
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$58.88
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$87.10

Where New Jersey 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.

New Jersey $52.48 · 33rd 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.