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

Massachusetts 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?

$89.13

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $195 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 9 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$89.13$69.18 to $93.33
FacilityA hospital or hospital-owned outpatient department$195$141 to $240

How much rates vary

Facilitymedian $195 · 10th to 90th $69 to $302Professionalmedian $89 · 10th to 90th $62 to $219
$50$100$200$500$1K$2K$5Kfacility $195professional $89

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
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$331.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$478.63
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$100.00
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$81.28
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$134.90
Health New England
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$478.63
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$100.00
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$114.82

Where Massachusetts 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.

Massachusetts· 10th of 51

$89.13

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.