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Knee Orthosis, Single Upright, Off-the-Shelf

North Dakota 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?

$708

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $794 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 5 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$708$603 to $794
FacilityA hospital or hospital-owned outpatient department$794$525 to $794

How much rates vary

Facilitymedian $794 · 10th to 90th $525 to $1,122Professionalmedian $708 · 10th to 90th $525 to $794
$500.0$1.0K$2.0K$5.0Kfacility $794professional $708

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
$524.81
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$794.33
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$891.25

Where North Dakota sits

The same service costs 3.2 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Dakota $708 · 5th of 51
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.