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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 October 2026.

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

$69.18

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $145 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$53.70 to $81.28
FacilityA hospital or hospital-owned outpatient department$145$117 to $245

How much rates vary

Facilitymedian $145 · 10th to 90th $72 to $617Professionalmedian $65 · 10th to 90th $50 to $126
$50$100$200$500$1Kfacility $145professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$107.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$77.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.92
Median
$26.92
Typical High
$38.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.72
Median
$10.72
Typical High
$15.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.13
Median
$8.13
Typical High
$11.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.37
Median
$5.37
Typical High
$7.76
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$177.83
Typical High
$724.44
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$81.28
Typical High
$81.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Hally Health
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$112.20
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Molina
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$87.10
United
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$107.15
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$52.48
Typical High
$123.03

Where Illinois sits

The same service costs 3.2 times more in Hawaii than in Florida. 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· 23rd of 51

$69.18

HI $166FL $52.48

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.