go back

Bilateral Outrigger for CTLSO or Scoliosis Orthosis

Kentucky rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Rates data updated July 2026.

How much does Bilateral Outrigger for CTLSO or Scoliosis Orthosis cost?

$102

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $115 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$102$102 to $112
FacilityA hospital or hospital-owned outpatient department$115$115 to $234

How much rates vary

Facilitymedian $115 · 10th to 90th $78 to $309Professionalmedian $102 · 10th to 90th $95 to $138
$100$200$500$1Kfacility $115professional $102

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
$114.82
Median
$114.82
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$104.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$138.04

Where Kentucky sits

The same service costs 3.6 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.

Kentucky· 39th of 51

$102

HI $302DC $83.18

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.