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Ankle-Foot Orthosis, Spiral, Custom Fitted

Rhode Island 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?

$575

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $1,778 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 4 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$550$479 to $589
FacilityA hospital or hospital-owned outpatient department$1,778$1,230 to $2,089

How much rates vary

Facilitymedian $1,778 · 10th to 90th $562 to $2,291Professionalmedian $550 · 10th to 90th $437 to $692
$500$1K$2K$5Kfacility $1,778professional $550

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,949.84
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$812.83

Where Rhode Island 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.

Rhode Island· 21st of 51

$575

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.