Members of his PTI party said another four people were hurt in the shooting.
Mr Khan, 70, was leading the march on the capital Islamabad to demand snap elections after he was ousted in April.
The former prime minister was seen being taken to a hospital in Lahore. A party spokesman said he had been hit in the shin.
Another party leader, provincial health minister Yasmeen Rashid, said Mr Khan was in a stable condition.
An unnamed male suspect was later arrested, according to Pakistan's Geo TV.
Footage from the scene shows a conscious Imran Khan with a bandage on his right leg being taken away in a vehicle after the shooting.
One video shows a PTI member with a bandage on his face and blood on his clothing, saying that people should pray for Mr Khan and all those injured.
Current Prime Minister Shehbaz. At least one person was killed in the incident, according to Faisal Javed, a senior PTI politician and close Khan ally who received a wound to the head in the attack. The victim’s name has not been released.
In a video statement Javed, who can be seen sitting up while receiving treatment, said: “Please pray for us, for Imran Khan, pray for our fellow workers who are severely injured and pray for our party member who has died and is martyred.”
At least two other people were injured by gunfire.
Prime Minister Shehbaz Sharif, who came to power after Khan lost a parliamentary vote of no confidence in April, condemned Thursday’s attack on his political rival on Twitter.
“I condemn the incident of firing on PTI Chairman Imran Khan in the strongest words,” Sharif wrote, adding that he has asked for an “immediate report on the incident” and will pray for the recovery of those injured.
“Violence should have no place in our country’s politics,” Sharif wrote.
On October 21, the Election Commission of Pakistan (ECP) recommended that Khan be disqualified from holding political office for five years, a move likely to further inflame political tensions in the country.
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