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Outrigger for CTLSO or Scoliosis Orthosis

New York rates for HCPCS L1080

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

Rates data updated July 2026.

How much does Outrigger for CTLSO or Scoliosis Orthosis cost?

$37.15

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $38.90 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$37.15$33.11 to $51.29
FacilityA hospital or hospital-owned outpatient department$38.90$26.92 to $64.57

How much rates vary

Facilitymedian $39 · 10th to 90th $10 to $105Professionalmedian $37 · 10th to 90th $27 to $93
$10$100$1K$10Kfacility $39professional $37

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
$21.38
Median
$35.48
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.88
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$107.15
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$52.48
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$43.65
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$245.47
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$120.23
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.72
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$37.15
Typical High
$39.81
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$60.26
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$36.31
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$41.69
Typical High
$104.71
Univera
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$35.48
Typical High
$37.15
Univera
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$37.15
Typical High
$39.81

Where New York sits

The same service costs 2.8 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· 30th of 51

$37.15

HI $83.18DC $30.20

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.