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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 July 2026.

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

$275

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $501 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$275$257 to $380
FacilityA hospital or hospital-owned outpatient department$501$257 to $891

How much rates vary

Facilitymedian $501 · 10th to 90th $257 to $2,570Professionalmedian $275 · 10th to 90th $191 to $490
$200$500$1K$2K$5Kfacility $501professional $275

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
$257.04
Median
$257.04
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$436.52
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$575.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$407.38
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$426.58

Where Illinois 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.

Illinois· 20th of 51

$275

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.