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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

South Dakota 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?

$83.18

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $89.13 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 7 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$83.18$60.26 to $117
FacilityA hospital or hospital-owned outpatient department$89.13$75.86 to $102

How much rates vary

Facilitymedian $89 · 10th to 90th $60 to $126Professionalmedian $83 · 10th to 90th $56 to $155
$50.0$100.0$200.0$500.0facility $89professional $83

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$154.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$63.10
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$97.72
Midlands
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$158.49
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$51.29
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$67.61
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where South Dakota 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 Dakota $83.18 · 9th 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.