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Knee-Ankle-Foot Orthosis, Full Plastic, Double Upright

North Carolina rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Full Plastic, Double Upright cost?

$1,585

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $1,820 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 6 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$1,585$1,122 to $1,820
FacilityA hospital or hospital-owned outpatient department$1,820$1,318 to $2,344

How much rates vary

Facilitymedian $1,820 · 10th to 90th $955 to $4,169Professionalmedian $1,585 · 10th to 90th $955 to $1,820
$10.0$100.0$1.0K$10.0Kfacility $1,820professional $1,585

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
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,819.70
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,090.30
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,445.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,819.70
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,584.89
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,584.89
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$20,892.96

Where North Carolina sits

The same service costs 3.1 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $1,585 · 14th of 51
HI $2,754DC $891

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.