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Ankle-Foot Orthosis, Custom Fabricated

Massachusetts 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?

$646

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $912 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 9 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$537$324 to $646
FacilityA hospital or hospital-owned outpatient department$912$708 to $1,122

How much rates vary

Facilitymedian $912 · 10th to 90th $324 to $1,479Professionalmedian $537 · 10th to 90th $295 to $832
$100$200$500$1K$2K$5Kfacility $912professional $537

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
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$1,023.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$3,630.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$436.52
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$977.24
Health New England
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Health New England
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$436.52
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$3,630.78
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$363.08
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$691.83

Where Massachusetts 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.

Massachusetts· 2nd of 51

$646

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.