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Elastic Rib Gusset for TLSO (Low Profile)

South 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?

$52.48

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $61.66 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$52.48$48.98 to $72.44
FacilityA hospital or hospital-owned outpatient department$61.66$48.98 to $93.33

How much rates vary

Facilitymedian $62 · 10th to 90th $49 to $135Professionalmedian $52 · 10th to 90th $46 to $87
$50$100$200facility $62professional $52

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
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$123.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$70.79
Medcost
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$60.26
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$69.18

Where South 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.

South Carolina· 44th of 51

$52.48

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.