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Anterior Thoracic Extension for TLSO (Low Profile)

South 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?

$145

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $158 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$145$123 to $204
FacilityA hospital or hospital-owned outpatient department$158$123 to $251

How much rates vary

Facilitymedian $158 · 10th to 90th $123 to $339Professionalmedian $145 · 10th to 90th $117 to $219
$100$200$500facility $158professional $145

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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$331.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$169.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$81.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$173.78

Where South 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.

South Carolina· 36th of 51

$145

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.