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Ankle-Foot Orthosis, Custom Fabricated

Rhode Island 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?

$363

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $1,230 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 4 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$363$324 to $437
FacilityA hospital or hospital-owned outpatient department$1,230$427 to $1,549

How much rates vary

Facilitymedian $1,230 · 10th to 90th $372 to $1,738Professionalmedian $363 · 10th to 90th $324 to $490
$500$1K$2Kfacility $1,230professional $363

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$616.60

Where Rhode Island 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.

Rhode Island· 22nd of 51

$363

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.