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

Illinois 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?

$72.44

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $79.43 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 6 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$72.44$58.88 to $87.10
FacilityA hospital or hospital-owned outpatient department$79.43$58.88 to $135

How much rates vary

Facilitymedian $79 · 10th to 90th $59 to $309Professionalmedian $72 · 10th to 90th $56 to $129
$50$100$200$500$1Kfacility $79professional $72

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
$58.88
Median
$58.88
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$112.20
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$186.21
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$151.36

Where Illinois 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.

Illinois· 38th of 51

$72.44

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.