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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

New York 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?

$53.70

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $54.95 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 9 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$53.70$47.86 to $74.13
FacilityA hospital or hospital-owned outpatient department$54.95$38.02 to $91.20

How much rates vary

Facilitymedian $55 · 10th to 90th $30 to $148Professionalmedian $54 · 10th to 90th $38 to $135
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $55professional $54

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
$44.67
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$48.98
Typical High
$69.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$151.36
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$72.44
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$70.79
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$346.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$93.33
Typical High
$169.82
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$31.62
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$56.23
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$51.29
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$58.88
Typical High
$147.91
Univera
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$52.48
Univera
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$56.23

Where New York 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 York $53.70 · 28th 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.