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Ankle-Foot Orthosis, Floor Reaction, Custom Fabricated

North Carolina rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Floor Reaction, Custom Fabricated cost?

$851

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $977 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$851$646 to $977
FacilityA hospital or hospital-owned outpatient department$977$741 to $1,230

How much rates vary

Facilitymedian $977 · 10th to 90th $490 to $2,239Professionalmedian $851 · 10th to 90th $525 to $977
$500$1K$2K$5Kfacility $977professional $851

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
$977.24
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$977.24
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$776.25
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$812.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$891.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$977.24
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$794.33
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$794.33
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$7,762.47

Where North Carolina sits

The same service costs 3.3 times more in Hawaii than in Nebraska. 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

$851

HI $1,585NE $479

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.