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Elastic Rib Gusset for TLSO (Low Profile)

North Dakota 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?

$89.13

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $70.79 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 5 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$91.20$70.79 to $107
FacilityA hospital or hospital-owned outpatient department$70.79$70.79 to $72.44

How much rates vary

Facilitymedian $71 · 10th to 90th $71 to $145Professionalmedian $91 · 10th to 90th $59 to $120
$50$100$200$500facility $71professional $91

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
$70.79
Median
$70.79
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$95.50
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$72.44
Typical High
$123.03

Where North Dakota 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 Dakota· 6th of 51

$89.13

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.