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Ankle-Foot Orthosis, Prefabricated

Illinois rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$200

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $372 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 6 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$195$155 to $234
FacilityA hospital or hospital-owned outpatient department$372$155 to $708

How much rates vary

Facilitymedian $372 · 10th to 90th $155 to $1,445Professionalmedian $195 · 10th to 90th $148 to $309
$100$200$500$1K$2Kfacility $372professional $195

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
$154.88
Median
$154.88
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$309.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$426.58
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$363.08

Where Illinois sits

The same service costs 4.2 times more in Hawaii 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.

Illinois· 16th of 51

$200

HI $457DC $110

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.