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Ankle-Foot Orthosis, Single Upright with Stop

Idaho 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?

$363

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $468 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$363$195 to $490
FacilityA hospital or hospital-owned outpatient department$468$355 to $490

How much rates vary

Facilitymedian $468 · 10th to 90th $204 to $631Professionalmedian $363 · 10th to 90th $162 to $562
$100$200$500$1Kfacility $468professional $363

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
Professional
Modifier
Global
Typical Low
$162.18
Median
$302.00
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$398.11
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$363.08
Typical High
$446.68
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$489.78
Typical High
$489.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$562.34
Select Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$776.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$0.31
Median
$213.80
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$281.84

Where Idaho 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.

Idaho· 11th of 51

$363

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.