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Elastic Rib Gusset for TLSO (Low Profile)

North Carolina 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?

$75.86

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $87.10 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 7 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$75.86$56.23 to $87.10
FacilityA hospital or hospital-owned outpatient department$87.10$64.57 to $110

How much rates vary

Facilitymedian $87 · 10th to 90th $45 to $204Professionalmedian $76 · 10th to 90th $47 to $87
$50$100$200$500facility $87professional $76

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
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$87.10
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$77.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$48.98
Typical High
$77.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$87.10
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$74.13
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$72.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$776.25

Where North Carolina 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.

North Carolina· 12th of 51

$75.86

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.