go back

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

Iowa 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?

$79.43

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $117 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 8 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$79.43$63.10 to $112
FacilityA hospital or hospital-owned outpatient department$117$75.86 to $170

How much rates vary

Facilitymedian $117 · 10th to 90th $71 to $302Professionalmedian $79 · 10th to 90th $52 to $162
$50$100$200$500facility $117professional $79

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
$61.66
Median
$79.43
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$138.04
Typical High
$173.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$144.54
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$165.96
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$173.78
Midlands
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$269.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$79.43
Typical High
$141.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$134.90

Where Iowa 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.

Iowa· 26th of 51

$79.43

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.