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Ankle-Foot Orthosis, Single Upright with Stop

Indiana 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 Indiana, 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 $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 5 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$219 to $263
FacilityA hospital or hospital-owned outpatient department$501$245 to $501

How much rates vary

Facilitymedian $501 · 10th to 90th $240 to $513Professionalmedian $245 · 10th to 90th $178 to $355
$200$500$1Kfacility $501professional $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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$501.19
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$588.84
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
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$234.42
Typical High
$346.74

Where Indiana 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.

Indiana· 24th 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.