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Knee Orthosis, Single Upright, Custom Fabricated

Illinois rates for HCPCS L1844

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated

Rates data updated July 2026.

How much does Knee Orthosis, Single Upright, Custom Fabricated cost?

$1,175

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,862 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$1,175$933 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,862$933 to $3,311

How much rates vary

Facilitymedian $1,862 · 10th to 90th $933 to $9,550Professionalmedian $1,175 · 10th to 90th $871 to $1,862
$1K$2K$5K$10K$20Kfacility $1,862professional $1,175

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
$933.25
Median
$933.25
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$933.25
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,548.13
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$2,137.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,290.87
Typical High
$2,884.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,513.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,621.81

Where Illinois sits

The same service costs 2.9 times more in Hawaii 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.

Illinois· 16th of 51

$1,175

HI $2,138DC $741

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.