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Knee Orthosis, Single Upright, Off-the-Shelf

Kentucky 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?

$525

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $537 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 7 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$525$417 to $617
FacilityA hospital or hospital-owned outpatient department$537$417 to $776

How much rates vary

Facilitymedian $537 · 10th to 90th $417 to $1,000Professionalmedian $525 · 10th to 90th $363 to $692
$500$1Kfacility $537professional $525

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
$416.87
Median
$416.87
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$741.31
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,258.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$776.25

Where Kentucky 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.

Kentucky· 38th of 51

$525

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.