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Knee Orthosis, Single Upright, Off-the-Shelf

South Carolina 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 South Carolina, 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 $490 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$407 to $692
FacilityA hospital or hospital-owned outpatient department$490$407 to $708

How much rates vary

Facilitymedian $490 · 10th to 90th $407 to $955Professionalmedian $525 · 10th to 90th $407 to $759
$500$1Kfacility $490professional $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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$912.01
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$933.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$776.25

Where South Carolina 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.

South Carolina· 35th 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.