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Sternal Pad for CTLSO or Scoliosis Orthosis

New York rates for HCPCS L1050

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, sternal pad

Rates data updated July 2026.

How much does Sternal Pad for CTLSO or Scoliosis Orthosis cost?

$57.54

Typical negotiated rate. In New York, 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 $58.88 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$57.54$52.48 to $72.44
FacilityA hospital or hospital-owned outpatient department$58.88$40.74 to $97.72

How much rates vary

Facilitymedian $59 · 10th to 90th $30 to $148Professionalmedian $58 · 10th to 90th $41 to $135
$100$1K$10Kfacility $59professional $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
$31.62
Median
$54.95
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$57.54
Typical High
$151.36
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$77.62
Typical High
$77.62
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$75.86
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$181.97
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
$56.23
Typical High
$60.26
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
$56.23
Median
$91.20
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$158.49
Univera
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$56.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$56.23
Typical High
$60.26

Where New York sits

The same service costs 3.0 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 25th of 51

$57.54

HI $141DC $46.77

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.