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

New York 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?

$83.18

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $100 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$83.18$75.86 to $97.72
FacilityA hospital or hospital-owned outpatient department$100$75.86 to $126

How much rates vary

Facilitymedian $100 · 10th to 90th $58 to $148Professionalmedian $83 · 10th to 90th $58 to $170
$100$1K$10Kfacility $100professional $83

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
$53.70
Median
$67.61
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$218.78
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$117.49
Typical High
$117.49
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$85.11
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$380.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$186.21
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$112.20
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$104.71
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$165.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$112.20
Univera
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$104.71

Where New York 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 York· 22nd of 51

$83.18

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.