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Ankle-Foot Orthosis, Custom Fabricated

Tennessee 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?

$288

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $479 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$288$269 to $355
FacilityA hospital or hospital-owned outpatient department$479$295 to $3,631

How much rates vary

Facilitymedian $479 · 10th to 90th $275 to $3,631Professionalmedian $288 · 10th to 90th $263 to $513
$200$500$1K$2K$5Kfacility $479professional $288

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
$269.15
Median
$295.12
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$512.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$371.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,248.07
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$398.11

Where Tennessee 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.

Tennessee· 45th of 51

$288

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.