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Ankle-Foot Orthosis, Spiral, Custom Fabricated

Illinois rates for HCPCS L1950

Ankle-foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated

Rates data updated July 2026.

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

$562

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $955 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$562$479 to $724
FacilityA hospital or hospital-owned outpatient department$955$479 to $1,660

How much rates vary

Facilitymedian $955 · 10th to 90th $479 to $4,786Professionalmedian $562 · 10th to 90th $398 to $955
$500$1K$2K$5K$10Kfacility $955professional $562

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
$478.63
Median
$478.63
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,819.70
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$954.99
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,288.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$758.58
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$812.83

Where Illinois sits

The same service costs 3.6 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.

Illinois· 15th of 51

$562

HI $1,318DC $363

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.