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

Kentucky 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?

$75.86

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $72.44 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$75.86$60.26 to $83.18
FacilityA hospital or hospital-owned outpatient department$72.44$63.10 to $115

How much rates vary

Facilitymedian $72 · 10th to 90th $63 to $148Professionalmedian $76 · 10th to 90th $52 to $89
$50$100$200facility $72professional $76

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
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$87.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$186.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$100.00
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$107.15

Where Kentucky 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.

Kentucky· 33rd of 51

$75.86

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.