go back

Unclassified Spinal Orthosis

Pennsylvania rates for HCPCS L1499

Spinal orthosis, not otherwise specified

Rates data updated July 2026.

How much does Unclassified Spinal Orthosis cost?

$3,467

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $4,898 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$977$151 to $64,565
FacilityA hospital or hospital-owned outpatient department$4,898$3,467 to $7,244

How much rates vary

Facilitymedian $4,898 · 10th to 90th $977 to $8,710Professionalmedian $977 · 10th to 90th $151 to $64,565
$100$1K$10Kfacility $4,898professional $977

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
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,862.09
Typical High
$1,949.84
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,897.79
Typical High
$7,943.28
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24

Where Pennsylvania sits

The same service costs 19952623.1 times more in Arkansas than in Louisiana. 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.

Pennsylvania· 2nd of 51

$3,467

AR $398,107LA $0.02

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.