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Ankle-Foot Orthosis, Custom Fabricated

Idaho rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Custom Fabricated cost?

$407

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $562 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$407$295 to $550
FacilityA hospital or hospital-owned outpatient department$562$427 to $603

How much rates vary

Facilitymedian $562 · 10th to 90th $324 to $759Professionalmedian $407 · 10th to 90th $229 to $676
$200$500$1Kfacility $562professional $407

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
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$371.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$512.86
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$426.58
Typical High
$524.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$588.84
Typical High
$588.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$616.60
Typical High
$912.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$0.44
Median
$323.59
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$398.11

Where Idaho sits

The same service costs 3.7 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.

Idaho· 14th of 51

$407

HI $851DC $229

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.