go back

Elastic Rib Gusset for TLSO (Low Profile)

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $214 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 4 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$63.10$56.23 to $74.13
FacilityA hospital or hospital-owned outpatient department$214$74.13 to $269

How much rates vary

Facilitymedian $214 · 10th to 90th $72 to $302Professionalmedian $63 · 10th to 90th $56 to $83
$50$100$200$500facility $214professional $63

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$107.15

Where Rhode Island 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.

Rhode Island· 18th 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.