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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

North Carolina 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?

$170

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $195 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$170$110 to $195
FacilityA hospital or hospital-owned outpatient department$195$117 to $234

How much rates vary

Facilitymedian $195 · 10th to 90th $85 to $380Professionalmedian $170 · 10th to 90th $91 to $195
$100$200$500$1Kfacility $195professional $170

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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$154.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$134.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$194.98
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$131.83
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$147.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,288.25

Where North Carolina 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.

North Carolina· 6th of 51

$170

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.