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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

South Dakota 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?

$162

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $178 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 7 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$162$117 to $229
FacilityA hospital or hospital-owned outpatient department$178$148 to $200

How much rates vary

Facilitymedian $178 · 10th to 90th $117 to $245Professionalmedian $162 · 10th to 90th $110 to $309
$100$200$500$1Kfacility $178professional $162

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$309.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$190.55
Midlands
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$309.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$245.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78

Where South Dakota 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.

South Dakota· 8th of 51

$162

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.