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Ankle-Foot Orthosis, Single Upright with Stop

Oregon 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?

$398

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $490 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$372$229 to $490
FacilityA hospital or hospital-owned outpatient department$490$398 to $501

How much rates vary

Facilitymedian $490 · 10th to 90th $380 to $501Professionalmedian $372 · 10th to 90th $178 to $562
$100$200$500$1Kfacility $490professional $372

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
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$870.96
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$562.34
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$501.19
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$501.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$562.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$436.52
Typical High
$524.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,995.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$0.31
Median
$194.98
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$371.54

Where Oregon 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.

Oregon· 8th of 51

$398

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.