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

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $120 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 7 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$100$79.43 to $120
FacilityA hospital or hospital-owned outpatient department$120$91.20 to $155

How much rates vary

Facilitymedian $120 · 10th to 90th $83 to $200Professionalmedian $100 · 10th to 90th $71 to $138
$50$100$200$500facility $120professional $100

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Midlands
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$288.40
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$102.33
Typical High
$134.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90

Where South Dakota 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 Dakota· 7th 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.