go back

Ankle-Foot Orthosis, Single Upright with Stop

North Carolina 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?

$302

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $347 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$302$204 to $347
FacilityA hospital or hospital-owned outpatient department$347$245 to $447

How much rates vary

Facilitymedian $347 · 10th to 90th $174 to $776Professionalmedian $302 · 10th to 90th $178 to $347
$200$500$1K$2Kfacility $347professional $302

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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$275.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$263.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$346.74
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$295.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,162.28

Where North Carolina 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.

North Carolina· 13th of 51

$302

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.