go back

Knee Orthosis, Single Upright, Off-the-Shelf

Connecticut 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?

$513

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $646 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$513$468 to $692
FacilityA hospital or hospital-owned outpatient department$646$550 to $708

How much rates vary

Facilitymedian $646 · 10th to 90th $398 to $708Professionalmedian $513 · 10th to 90th $363 to $912
$500$1K$2Kfacility $646professional $513

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$660.69
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$758.58
Health New England
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$812.83

Where Connecticut 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.

Connecticut· 40th of 51

$513

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.