go back

Ankle-Foot Orthosis, Prefabricated

South Carolina 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?

$155

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $170 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 7 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$145$132 to $229
FacilityA hospital or hospital-owned outpatient department$170$132 to $269

How much rates vary

Facilitymedian $170 · 10th to 90th $132 to $363Professionalmedian $145 · 10th to 90th $120 to $234
$100.0$200.0$500.0$1.0Kfacility $170professional $145

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
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$190.55
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$354.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$186.21

Where South Carolina sits

The same service costs 4.2 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Carolina $155 · 38th of 51
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.