go back

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

Illinois rates for HCPCS L2037

Knee-ankle-foot orthosis (KAFO), full plastic, single 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, Single Upright cost?

$1,202

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,042 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$1,175$1,023 to $1,549
FacilityA hospital or hospital-owned outpatient department$2,042$1,023 to $3,467

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,023 to $9,772Professionalmedian $1,175 · 10th to 90th $871 to $2,042
$1K$2K$5K$10K$20Kfacility $2,042professional $1,175

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
$1,023.29
Median
$1,023.29
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,890.45
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$2,089.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,290.87
Typical High
$2,884.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,621.81
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,737.80

Where Illinois sits

The same service costs 3.4 times more in Hawaii 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.

Illinois· 17th of 51

$1,202

HI $2,818DC $832

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.