go back

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

Tennessee 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?

$63.10

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 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 5 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$63.10$58.88 to $87.10
FacilityA hospital or hospital-owned outpatient department$105$70.79 to $479

How much rates vary

Facilitymedian $105 · 10th to 90th $66 to $479Professionalmedian $63 · 10th to 90th $54 to $105
$50$100$200$500facility $105professional $63

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
$66.07
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$102.33

Where Tennessee 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.

Tennessee· 46th of 51

$63.10

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.