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Knee Orthosis, Double Upright, Custom Fitted

Illinois rates for HCPCS L1845

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?

$617

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $513 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$617$513 to $776
FacilityA hospital or hospital-owned outpatient department$513$513 to $1,202

How much rates vary

Facilitymedian $513 · 10th to 90th $148 to $1,698Professionalmedian $617 · 10th to 90th $479 to $1,023
$100$200$500$1K$2K$5K$10Kfacility $513professional $617

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
$120.23
Median
$512.86
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,023.29
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,621.81
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
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$831.76
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$501.19
Typical High
$1,380.38

Where Illinois sits

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.

Illinois· 19th of 51

$617

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.