go back

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

New Mexico 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?

$79.43

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $89.13 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$54.95 to $87.10
FacilityA hospital or hospital-owned outpatient department$89.13$70.79 to $120

How much rates vary

Facilitymedian $89 · 10th to 90th $47 to $135Professionalmedian $76 · 10th to 90th $35 to $158
$50$100$200$500facility $89professional $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
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$85.11
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$158.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$100.00
Typical High
$134.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$107.15

Where New Mexico 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.

New Mexico· 25th of 51

$79.43

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.