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Replacement Girdle for Spinal Orthosis

Tennessee rates for HCPCS L4000

Replace girdle for spinal orthosis (cervical-thoracic-lumbar-sacral orthosis (CTLSO) or spinal orthosis SO)

Rates data updated July 2026.

How much does Replacement Girdle for Spinal Orthosis cost?

$724

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $1,148 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$724$661 to $891
FacilityA hospital or hospital-owned outpatient department$1,148$724 to $9,333

How much rates vary

Facilitymedian $1,148 · 10th to 90th $708 to $9,333Professionalmedian $724 · 10th to 90th $646 to $1,230
$500$1K$2K$5K$10Kfacility $1,148professional $724

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
$660.69
Median
$724.44
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$707.95
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$10,715.19
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$724.44
Typical High
$1,023.29

Where Tennessee sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 47th of 51

$724

HI $2,188DC $631

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.