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Lateral Thoracic Extension for TLSO (Low Profile)

Illinois rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Rates data updated July 2026.

How much does Lateral Thoracic Extension for TLSO (Low Profile) cost?

$200

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $302 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$195$151 to $229
FacilityA hospital or hospital-owned outpatient department$302$151 to $537

How much rates vary

Facilitymedian $302 · 10th to 90th $151 to $1,514Professionalmedian $195 · 10th to 90th $141 to $302
$1.0$10.0$100.0$1.0Kfacility $302professional $195

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
$151.36
Median
$151.36
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$331.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$436.52
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$257.04

Where Illinois sits

The same service costs 4.0 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $200 · 16th of 51
HI $479DC $120

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.