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Elastic Rib Gusset for TLSO (Low Profile)

Massachusetts 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?

$105

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $79.43 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 9 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$105$56.23 to $112
FacilityA hospital or hospital-owned outpatient department$79.43$56.23 to $229

How much rates vary

Facilitymedian $79 · 10th to 90th $56 to $631Professionalmedian $105 · 10th to 90th $52 to $170
$50$100$200$500$1K$2K$5Kfacility $79professional $105

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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$177.83
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$630.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$100.00
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$77.62
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$169.82
Health New England
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$630.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$100.00
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$100.00
Typical High
$112.20

Where Massachusetts 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.

Massachusetts· 3rd of 51

$105

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.