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

Montana 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?

$100

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $107 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$85.11$60.26 to $132
FacilityA hospital or hospital-owned outpatient department$107$85.11 to $141

How much rates vary

Facilitymedian $107 · 10th to 90th $85 to $263Professionalmedian $85 · 10th to 90th $47 to $155
$100$1K$10K$100Kfacility $107professional $85

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
$43.65
Median
$60.26
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$141.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$165.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$165.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$186.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$109.65

Where Montana 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.

Montana· 6th of 51

$100

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.