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Ankle-Foot Orthosis, Single Upright with Stop

Ohio 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?

$263

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $501 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 8 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$263$240 to $331
FacilityA hospital or hospital-owned outpatient department$501$398 to $550

How much rates vary

Facilitymedian $501 · 10th to 90th $263 to $759Professionalmedian $263 · 10th to 90th $178 to $513
$200$500$1Kfacility $501professional $263

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
$263.03
Median
$309.03
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$467.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$275.42
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$257.04
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$436.52
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$562.34
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$407.38
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$316.23

Where Ohio 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.

Ohio· 21st of 51

$263

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.