go back

Ankle-Foot Orthosis, Single Upright with Stop

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $245 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$204$191 to $339
FacilityA hospital or hospital-owned outpatient department$245$195 to $363

How much rates vary

Facilitymedian $245 · 10th to 90th $195 to $562Professionalmedian $204 · 10th to 90th $178 to $347
$200$500facility $245professional $204

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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$234.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$275.42

Where South Carolina 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.

South Carolina· 41st 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.