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Ankle-Foot Orthosis, Solid Ankle, Custom Fabricated

Illinois rates for HCPCS L1960

Ankle-foot orthosis (AFO), posterior solid ankle, plastic, custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Solid Ankle, Custom Fabricated cost?

$398

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $955 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$389$380 to $575
FacilityA hospital or hospital-owned outpatient department$955$380 to $1,698

How much rates vary

Facilitymedian $955 · 10th to 90th $380 to $2,754Professionalmedian $389 · 10th to 90th $324 to $759
$1.0$10.0$100.0$1.0K$10.0Kfacility $955professional $389

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
$380.19
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$575.44
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$758.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,047.13
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
$977.24
Median
$977.24
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$660.69

Where Illinois sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $398 · 22nd of 51
HI $977DC $275

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.