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Ankle-Foot Orthosis, Spiral, Custom Fitted

Illinois rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

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

$676

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $1,023 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$661$525 to $776
FacilityA hospital or hospital-owned outpatient department$1,023$525 to $1,820

How much rates vary

Facilitymedian $1,023 · 10th to 90th $525 to $5,129Professionalmedian $661 · 10th to 90th $468 to $1,023
$500$1K$2K$5K$10Kfacility $1,023professional $661

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
$524.81
Median
$524.81
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$524.81
Typical High
$1,023.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,949.84
Typical High
$6,918.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,096.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,412.54
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
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$831.76
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$870.96

Where Illinois sits

The same service costs 2.5 times more in Wisconsin 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· 14th of 51

$676

WI $1,023DC $407

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.