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

Idaho 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?

$87.10

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $100 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$87.10$66.07 to $105
FacilityA hospital or hospital-owned outpatient department$100$85.11 to $132

How much rates vary

Facilitymedian $100 · 10th to 90th $76 to $174Professionalmedian $87 · 10th to 90th $46 to $148
$50$100$200facility $100professional $87

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
Professional
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$97.72
Typical High
$144.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$114.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$93.33
Typical High
$234.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$77.62
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$104.71

Where Idaho 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.

Idaho· 15th of 51

$87.10

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.