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Ankle-Foot Orthosis, Custom Fabricated

North Carolina 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?

$457

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $525 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$457$316 to $525
FacilityA hospital or hospital-owned outpatient department$525$372 to $661

How much rates vary

Facilitymedian $525 · 10th to 90th $263 to $1,202Professionalmedian $457 · 10th to 90th $263 to $562
$200$500$1K$2Kfacility $525professional $457

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
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$524.81
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$416.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$524.81
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$426.58
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$426.58
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$5,248.07

Where North Carolina 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.

North Carolina· 12th of 51

$457

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.