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Ankle-Foot Orthosis, Custom Fabricated

Utah 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?

$355

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $275 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$355$257 to $525
FacilityA hospital or hospital-owned outpatient department$275$178 to $562

How much rates vary

Facilitymedian $275 · 10th to 90th $178 to $562Professionalmedian $355 · 10th to 90th $178 to $3,236
$200$500$1K$2Kfacility $275professional $355

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
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$407.38
Typical High
$524.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$562.34
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Select Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$562.34
Typical High
$616.60
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$426.58

Where Utah 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.

Utah· 23rd of 51

$355

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.