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TLSO, Initial Orthosis Only

North Carolina 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?

$1,585

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $1,698 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$1,514$1,047 to $1,698
FacilityA hospital or hospital-owned outpatient department$1,698$1,175 to $2,089

How much rates vary

Facilitymedian $1,698 · 10th to 90th $813 to $3,890Professionalmedian $1,514 · 10th to 90th $851 to $1,820
$1K$2K$5K$10Kfacility $1,698professional $1,514

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
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,698.24
Typical High
$1,819.70
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,479.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,479.11
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,348.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38

Where North Carolina 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.

North Carolina· 12th of 51

$1,585

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.