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TLSO, Initial Orthosis Only

Minnesota rates for HCPCS L1200

Thoracic-lumbar-sacral orthosis (TLSO), inclusive of furnishing initial orthosis only

Rates data updated July 2026.

How much does TLSO, Initial Orthosis Only cost?

$2,138

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $3,715 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$2,138$1,738 to $2,138
FacilityA hospital or hospital-owned outpatient department$3,715$2,138 to $8,128

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,862 to $17,783Professionalmedian $2,138 · 10th to 90th $1,288 to $2,512
$1K$2K$5K$10K$20Kfacility $3,715professional $2,138

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
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,288.25
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,137.96
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$8,128.31
Typical High
$22,387.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,818.38
Typical High
$3,162.28
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$8,912.51
Typical High
$17,782.79
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,137.96
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$870.96
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$3,019.95

Where Minnesota sits

The same service costs 4.8 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.

Minnesota· 3rd of 51

$2,138

HI $3,467DC $724

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.