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Knee Orthosis, Single Upright, Off-the-Shelf

Arkansas rates for HCPCS L1851

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, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Single Upright, Off-the-Shelf cost?

$603

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $398,107 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$589$427 to $603
FacilityA hospital or hospital-owned outpatient department$398,107$141,254 to $758,578

How much rates vary

Facilitymedian $398,107 · 10th to 90th $603 to $891,251Professionalmedian $589 · 10th to 90th $407 to $646
$1K$10K$100K$1Mfacility $398,107professional $589

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
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$776.25

Where Arkansas sits

The same service costs 3.2 times more in Kansas 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.

Arkansas· 27th of 51

$603

KS $1,000DC $309

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.