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Ankle-Foot Orthosis, Single Upright with Stop

Rhode Island 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?

$282

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $871 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 4 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$282$229 to $309
FacilityA hospital or hospital-owned outpatient department$871$302 to $1,096

How much rates vary

Facilitymedian $871 · 10th to 90th $245 to $1,202Professionalmedian $282 · 10th to 90th $229 to $339
$200$500$1K$2Kfacility $871professional $282

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$436.52

Where Rhode Island 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.

Rhode Island· 16th of 51

$282

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.