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Knee Orthosis, Single Upright, Off-the-Shelf

Tennessee 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?

$562

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $468 to $692.

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 $631 · 10th to 90th $631 to $708Professionalmedian $537 · 10th to 90th $398 to $4,467
$500$1K$2K$5Kfacility $631professional $537

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$407.38
Typical High
$616.60
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$199.53
Typical High
$239.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$79.43
Median
$81.28
Typical High
$95.50
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$58.88
Median
$60.26
Typical High
$72.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$40.74
Typical High
$47.86
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$691.83
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$524.81
Typical High
$691.83

Where Tennessee 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.

Tennessee· 33rd of 51

$562

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.