Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $107.15
Facility
$43.65
$54.95
$107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $54.95 / $85.11
Professional
$42.66
$54.95
$85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $60.26 / $239.88
Facility
$44.67
$60.26
$239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $60.26 / $123.03
Professional
$53.70
$60.26
$123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $398.11
Facility
$72.44
$72.44
$398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $151.36
Professional
$53.70
$53.70
$151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $60.26 / $131.83
Facility
$37.15
$60.26
$131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $52.48 / $104.71
Professional
$38.02
$52.48
$104.71
See more rates by state
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.