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Ankle-Foot Orthosis, Single Upright with Stop

Massachusetts 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?

$427

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $302 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 9 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$427$229 to $457
FacilityA hospital or hospital-owned outpatient department$302$229 to $871

How much rates vary

Facilitymedian $302 · 10th to 90th $229 to $2,138Professionalmedian $427 · 10th to 90th $204 to $692
$100$200$500$1K$2K$5Kfacility $302professional $427

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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$724.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$2,137.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$407.38
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$309.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$691.83
Health New England
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$281.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$2,137.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$407.38
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$416.87
Typical High
$457.09

Where Massachusetts 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.

Massachusetts· 6th of 51

$427

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.