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Ankle-Foot Orthosis, Spiral, Custom Fabricated

North Carolina 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?

$661

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $741 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$646$457 to $741
FacilityA hospital or hospital-owned outpatient department$741$525 to $955

How much rates vary

Facilitymedian $741 · 10th to 90th $380 to $1,738Professionalmedian $646 · 10th to 90th $380 to $741
$500$1K$2K$5Kfacility $741professional $646

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
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$741.31
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$575.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$426.58
Typical High
$588.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$741.31
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$630.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$8,317.64

Where North Carolina 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.

North Carolina· 13th of 51

$661

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.