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Ankle-Foot Orthosis, Spiral, Custom Fitted

Virginia 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?

$550

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,000 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 8 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$537$490 to $676
FacilityA hospital or hospital-owned outpatient department$1,000$661 to $1,000

How much rates vary

Facilitymedian $1,000 · 10th to 90th $490 to $1,259Professionalmedian $537 · 10th to 90th $407 to $955
$500$1K$2K$5K$10Kfacility $1,000professional $537

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
$407.38
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,148.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,412.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,148.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$1,258.93
Sentara
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$2,187.76
Sentara
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$794.33

Where Virginia 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.

Virginia· 33rd of 51

$550

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.