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Elastic Rib Gusset for TLSO (Low Profile)

Illinois rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Rates data updated July 2026.

How much does Elastic Rib Gusset for TLSO (Low Profile) cost?

$63.10

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $107 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$61.66$53.70 to $81.28
FacilityA hospital or hospital-owned outpatient department$107$53.70 to $191

How much rates vary

Facilitymedian $107 · 10th to 90th $54 to $537Professionalmedian $62 · 10th to 90th $47 to $107
$50$100$200$500$1Kfacility $107professional $62

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
$53.70
Median
$53.70
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$107.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$151.36
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
$138.04
Median
$138.04
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$91.20

Where Illinois sits

The same service costs 3.7 times more in Hawaii than in Nebraska. 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.

Illinois· 17th of 51

$63.10

HI $166NE $44.67

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.