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Ankle-Foot Orthosis, Custom Fabricated

South 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?

$316

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $363 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$309$295 to $501
FacilityA hospital or hospital-owned outpatient department$363$295 to $562

How much rates vary

Facilitymedian $363 · 10th to 90th $295 to $794Professionalmedian $309 · 10th to 90th $288 to $525
$200$500$1Kfacility $363professional $309

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
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$676.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$954.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$416.87

Where South 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.

South Carolina· 37th of 51

$316

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.