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Ankle-Foot Orthosis, Spiral, Custom Fabricated

New York 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?

$525

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $692 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 9 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$525$490 to $871
FacilityA hospital or hospital-owned outpatient department$692$490 to $1,148

How much rates vary

Facilitymedian $692 · 10th to 90th $427 to $1,698Professionalmedian $525 · 10th to 90th $380 to $1,585
$500$1K$2K$5K$10K$20K$50Kfacility $692professional $525

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
$380.19
Median
$489.78
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,778.28
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$933.25
Typical High
$933.25
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$575.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,862.09
Typical High
$4,365.16
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$2,187.76
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$724.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$707.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,096.48
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$707.95
Typical High
$1,819.70
Univera
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$724.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$707.95

Where New York 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.

New York· 21st of 51

$525

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.