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Ankle-Foot Orthosis, Custom Fabricated

Illinois 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?

$380

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $708 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$380$302 to $457
FacilityA hospital or hospital-owned outpatient department$708$302 to $1,096

How much rates vary

Facilitymedian $708 · 10th to 90th $302 to $2,188Professionalmedian $380 · 10th to 90th $275 to $603
$200$500$1K$2K$5Kfacility $708professional $380

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
$302.00
Median
$302.00
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$676.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$831.76
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
$758.58
Median
$758.58
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$478.63
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$524.81

Where Illinois 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.

Illinois· 16th of 51

$380

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.