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

South Carolina 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?

$75.86

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $83.18 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$72.44$60.26 to $112
FacilityA hospital or hospital-owned outpatient department$83.18$60.26 to $120

How much rates vary

Facilitymedian $83 · 10th to 90th $60 to $170Professionalmedian $72 · 10th to 90th $60 to $115
$50$100$200facility $83professional $72

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
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$67.61
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$75.86
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$112.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$93.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$109.65
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$46.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$107.15

Where South Carolina 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.

South Carolina· 31st of 51

$75.86

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.