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Elastic Rib Gusset for TLSO (Low Profile)

Utah 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?

$58.88

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $47.86 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$58.88$43.65 to $100
FacilityA hospital or hospital-owned outpatient department$47.86$31.62 to $97.72

How much rates vary

Facilitymedian $48 · 10th to 90th $32 to $98Professionalmedian $59 · 10th to 90th $32 to $562
$50$100$200$500facility $48professional $59

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
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$44.67
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$91.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$97.72
Typical High
$97.72
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$112.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$100.00
Typical High
$102.33
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$74.13

Where Utah 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.

Utah· 25th of 51

$58.88

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.