Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Rates data updated July 2026.
How much does Knee Orthosis, Double Upright, Custom Fitted cost?
$589
Typical negotiated rate. Nationwide, July 2026.
Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $759 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 73 insurance carriers under federal price transparency rules.
Where it's billed changes the price
Billed by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$575
$501 to $871
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$759
$525 to $1,122
How much rates vary
Facilitymedian $759 · 10th to 90th $427 to $2,291Professionalmedian $575 · 10th to 90th $447 to $1,096
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,380.38
Facility
Global
$398.11
$575.44
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$1,000.00
Professional
Global
$446.68
$537.03
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$1,949.84
Facility
Global
$416.87
$575.44
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$1,258.93
Professional
Global
$489.78
$575.44
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$3,801.89
Facility
Global
$630.96
$630.96
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,479.11
Professional
Global
$457.09
$457.09
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$1,258.93
Facility
Global
$354.81
$588.84
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$1,148.15
Professional
Global
$363.08
$549.54
$1,148.15
What it costs in each state
The same service costs 2.3 times more in Wisconsin 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.
Touch or drag across the chart to see any state's rate.
WI $1,023DC $447
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.
See more rates by state
Want provider-level rates data or 24+ months of history? We offer custom data extracts for a reasonable fee. To learn more, please email us.