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

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $105 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 8 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$77.62$60.26 to $105
FacilityA hospital or hospital-owned outpatient department$105$89.13 to $117

How much rates vary

Facilitymedian $105 · 10th to 90th $60 to $170Professionalmedian $78 · 10th to 90th $52 to $138
$50$100$200facility $105professional $78

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
$52.48
Median
$89.13
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$154.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$85.11
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$81.28
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$147.91
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$109.65

Where Ohio 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.

Ohio· 23rd 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.