go back

Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf

North Carolina rates for HCPCS L1833

Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Rates data updated July 2026.

How much does Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf cost?

$562

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $479 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$562$447 to $589
FacilityA hospital or hospital-owned outpatient department$479$355 to $589

How much rates vary

Facilitymedian $479 · 10th to 90th $339 to $871Professionalmedian $562 · 10th to 90th $316 to $708
$200$500$1K$2Kfacility $479professional $562

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
$354.81
Median
$354.81
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$588.84
Typical High
$707.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$549.54
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$501.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$588.84
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$512.86
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$630.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,715.35

Where North Carolina sits

The same service costs 3.0 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.

North Carolina· 4th of 51

$562

HI $708DC $234

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.