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Ankle-Foot Orthosis, Single Upright with Stop

Nebraska 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?

$191

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $398 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$191$191 to $234
FacilityA hospital or hospital-owned outpatient department$398$251 to $457

How much rates vary

Facilitymedian $398 · 10th to 90th $195 to $2,089Professionalmedian $191 · 10th to 90th $166 to $363
$200$500$1K$2Kfacility $398professional $191

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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$190.55
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$380.19
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$537.03
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$1,071.52
Midlands
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$398.11
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$323.59

Where Nebraska 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.

Nebraska· 48th of 51

$191

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.