go back

Ankle-Foot Orthosis, Spiral, Custom Fitted

South Carolina 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?

$525

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $617 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$513$501 to $794
FacilityA hospital or hospital-owned outpatient department$617$501 to $933

How much rates vary

Facilitymedian $617 · 10th to 90th $490 to $1,288Professionalmedian $513 · 10th to 90th $427 to $891
$500$1K$2Kfacility $617professional $513

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
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$891.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$707.95
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,174.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$588.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,584.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$676.08

Where South Carolina 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.

South Carolina· 38th of 51

$525

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.