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Ankle-Foot Orthosis, Single Upright with Stop

Georgia rates for HCPCS L1920

Ankle-foot orthosis (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Single Upright with Stop cost?

$245

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $398 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$245$191 to $331
FacilityA hospital or hospital-owned outpatient department$398$186 to $562

How much rates vary

Facilitymedian $398 · 10th to 90th $186 to $1,479Professionalmedian $245 · 10th to 90th $182 to $389
$100$200$500$1Kfacility $398professional $245

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
$186.21
Median
$186.21
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$954.99
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$524.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$389.05

Where Georgia sits

The same service costs 3.0 times more in Minnesota 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.

Georgia· 26th of 51

$245

MN $490DC $162

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.