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Ankle-Foot Orthosis, Single Upright with Stop

Iowa 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?

$282

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $363 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 8 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$263$195 to $372
FacilityA hospital or hospital-owned outpatient department$363$245 to $631

How much rates vary

Facilitymedian $363 · 10th to 90th $195 to $1,096Professionalmedian $263 · 10th to 90th $166 to $575
$200$500$1K$2Kfacility $363professional $263

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
$190.55
Median
$346.74
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$575.44
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$512.86
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$616.60
Midlands
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$660.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$331.13
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$478.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$398.11

Where Iowa 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.

Iowa· 18th of 51

$282

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.