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Ankle-Foot Orthosis, Single Upright with Stop

Kentucky 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?

$229

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $214 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$229$204 to $245
FacilityA hospital or hospital-owned outpatient department$214$204 to $427

How much rates vary

Facilitymedian $214 · 10th to 90th $166 to $617Professionalmedian $229 · 10th to 90th $182 to $263
$200$500$1Kfacility $214professional $229

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
$204.17
Median
$204.17
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$239.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$537.03
Typical High
$691.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$302.00

Where Kentucky 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.

Kentucky· 37th of 51

$229

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.