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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

South 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?

$57.54

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $66.07 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$57.54$53.70 to $81.28
FacilityA hospital or hospital-owned outpatient department$66.07$57.54 to $105

How much rates vary

Facilitymedian $66 · 10th to 90th $51 to $141Professionalmedian $58 · 10th to 90th $40 to $100
$50.0$100.0$200.0$500.0facility $66professional $58

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
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$123.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$56.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$173.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$54.95
Typical High
$72.44

Where South 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.

South Carolina $57.54 · 19th 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.