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Elastic Rib Gusset for TLSO (Low Profile)

Tennessee 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?

$51.29

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $77.62 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$48.98$44.67 to $60.26
FacilityA hospital or hospital-owned outpatient department$77.62$48.98 to $631

How much rates vary

Facilitymedian $78 · 10th to 90th $48 to $631Professionalmedian $49 · 10th to 90th $44 to $83
$50$100$200$500facility $78professional $49

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
$44.67
Median
$48.98
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$69.18

Where Tennessee 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.

Tennessee· 46th of 51

$51.29

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.