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Knee Orthosis, Double Upright, Custom Fitted

Minnesota 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?

$1,000

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $1,514 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$1,000$813 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,514$1,000 to $3,715

How much rates vary

Facilitymedian $1,514 · 10th to 90th $708 to $8,318Professionalmedian $1,000 · 10th to 90th $575 to $1,175
$200$500$1K$2K$5K$10Kfacility $1,514professional $1,000

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
$190.55
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,801.89
Typical High
$10,471.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,348.96
Typical High
$1,479.11
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,168.69
Typical High
$8,317.64
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,000.00
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$457.09
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$1,412.54

Where Minnesota 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.

Minnesota· 3rd of 51

$1,000

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.