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Ankle-Foot Orthosis, Single Upright with Stop

Virginia 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?

$240

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $398 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$229$195 to $275
FacilityA hospital or hospital-owned outpatient department$398$263 to $398

How much rates vary

Facilitymedian $398 · 10th to 90th $195 to $501Professionalmedian $229 · 10th to 90th $162 to $389
$200$500$1K$2K$5K$10Kfacility $398professional $229

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
$162.18
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$501.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$501.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$501.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$1,148.15
Sentara
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$316.23

Where Virginia 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.

Virginia· 28th of 51

$240

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.