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Knee Orthosis, Rigid, without Joints, Off-the-Shelf

Georgia rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Rigid, without Joints, Off-the-Shelf cost?

$85.11

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $110 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$85.11$63.10 to $129
FacilityA hospital or hospital-owned outpatient department$110$63.10 to $186

How much rates vary

Facilitymedian $110 · 10th to 90th $63 to $398Professionalmedian $85 · 10th to 90th $58 to $148
$50$100$200facility $110professional $85

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
$63.10
Median
$63.10
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$257.04
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$181.97
CareSource
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$218.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$131.83

Where Georgia sits

The same service costs 3.0 times more in Minnesota 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.

Georgia· 19th of 51

$85.11

MN $135DC $45.71

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.