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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

Utah 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?

$105

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $87.10 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$105$79.43 to $178
FacilityA hospital or hospital-owned outpatient department$87.10$56.23 to $174

How much rates vary

Facilitymedian $87 · 10th to 90th $56 to $174Professionalmedian $105 · 10th to 90th $56 to $1,000
$100$200$500$1Kfacility $87professional $105

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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$87.10
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$165.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$208.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$190.55
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$131.83

Where Utah 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.

Utah· 27th of 51

$105

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.