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Ankle-Foot Orthosis, Single Upright with Stop

North Dakota 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?

$457

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $363 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$468$363 to $550
FacilityA hospital or hospital-owned outpatient department$363$347 to $363

How much rates vary

Facilitymedian $363 · 10th to 90th $347 to $631Professionalmedian $468 · 10th to 90th $234 to $603
$200$500$1K$2Kfacility $363professional $468

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
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$575.44
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$389.05
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$302.00
Typical High
$575.44

Where North Dakota 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 Dakota· 3rd of 51

$457

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.