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Ankle-Foot Orthosis, Single Upright with Stop

New Jersey 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?

$204

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $148 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$209$166 to $263
FacilityA hospital or hospital-owned outpatient department$148$145 to $245

How much rates vary

Facilitymedian $148 · 10th to 90th $145 to $427Professionalmedian $209 · 10th to 90th $162 to $417
$200$500$1Kfacility $148professional $209

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
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$245.47
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$562.34
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$407.38

Where New Jersey 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.

New Jersey· 40th of 51

$204

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.