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Ankle-Foot Orthosis, Single Upright with Stop

Illinois rates for HCPCS L1920

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

Rates data updated October 2026.

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

$282

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $676 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$245 to $380
FacilityA hospital or hospital-owned outpatient department$676$562 to $1,148

How much rates vary

Facilitymedian $676 · 10th to 90th $245 to $2,884Professionalmedian $275 · 10th to 90th $182 to $490
$200$500$1K$2K$5Kfacility $676professional $275

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$257.04
Typical High
$363.08
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$120.23
Median
$125.89
Typical High
$181.97
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$51.29
Typical High
$72.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$35.48
Median
$38.02
Typical High
$53.70
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.99
Median
$25.70
Typical High
$36.31
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$831.76
Typical High
$3,388.44
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$467.74
Typical High
$588.84
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Molina
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$501.19
Typical High
$645.65
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$245.47
Typical High
$575.44

Where Illinois sits

The same service costs 2.9 times more in Montana than in Delaware. 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· 20th of 51

$282

MT $513DE $178

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.