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Outrigger for CTLSO or Scoliosis Orthosis

Pennsylvania 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?

$35.48

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $117 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$33.88$30.90 to $39.81
FacilityA hospital or hospital-owned outpatient department$117$40.74 to $269

How much rates vary

Facilitymedian $117 · 10th to 90th $31 to $398Professionalmedian $34 · 10th to 90th $29 to $54
$100$1K$10Kfacility $117professional $34

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
$30.90
Median
$30.90
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$47.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$75.86
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
$40.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$120.23
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$48.98
Typical High
$75.86
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$35.48
Typical High
$51.29
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$269.15
Typical High
$436.52
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$37.15
Typical High
$67.61

Where Pennsylvania 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.

Pennsylvania· 42nd of 51

$35.48

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.