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Anterior Thoracic Extension for TLSO (Low Profile)

North Carolina rates for HCPCS L1220

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

Rates data updated July 2026.

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

$195

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $219 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$191$138 to $219
FacilityA hospital or hospital-owned outpatient department$219$166 to $282

How much rates vary

Facilitymedian $219 · 10th to 90th $115 to $501Professionalmedian $191 · 10th to 90th $115 to $219
$100$200$500$1Kfacility $219professional $191

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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$223.87
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$186.21
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,511.89

Where North Carolina 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.

North Carolina· 12th of 51

$195

HI $417DC $115

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.