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

Tennessee 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 October 2026.

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

$1,096

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $1,318 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$955 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,318$1,318 to $1,318

How much rates vary

Facilitymedian $1,318 · 10th to 90th $1,122 to $1,318Professionalmedian $1,047 · 10th to 90th $933 to $13,490
$1K$2K$5K$10K$20Kfacility $1,318professional $1,047

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
$933.25
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$457.09
Median
$467.74
Typical High
$549.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$186.21
Median
$186.21
Typical High
$218.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$138.04
Median
$141.25
Typical High
$165.96
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$93.33
Median
$93.33
Typical High
$109.65
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$13,489.63
Median
$21,379.62
Typical High
$21,379.62
United
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,380.38

Where Tennessee sits

The same service costs 2.9 times more in Hawaii than in Delaware. 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· 46th of 51

$1,096

HI $2,754DE $955

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.