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Knee Orthosis, Single Upright, Off-the-Shelf

Washington, DC 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 October 2026.

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

$550

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $468 to $550.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $309 · 10th to 90th $309 to $708Professionalmedian $550 · 10th to 90th $309 to $692
$500$1Kfacility $309professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$354.81
Typical High
$776.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$154.88
Typical High
$263.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$61.66
Median
$61.66
Typical High
$104.71
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$46.77
Median
$46.77
Typical High
$77.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$30.90
Median
$30.90
Typical High
$52.48
CareFirst
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$562.34
Typical High
$1,513.56
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$524.81
Typical High
$691.83

Where Washington, DC sits

The same service costs 2.2 times more in Kansas than in Utah. 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.

Washington, DC· 36th of 51

$550

KS $1,000UT $457

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.