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Ankle-Foot Orthosis, Solid Ankle, Custom Fabricated

North Carolina 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?

$479

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $550 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$479$380 to $550
FacilityA hospital or hospital-owned outpatient department$550$417 to $708

How much rates vary

Facilitymedian $550 · 10th to 90th $288 to $1,259Professionalmedian $479 · 10th to 90th $282 to $550
$1.0$10.0$100.0$1.0K$10.0Kfacility $550professional $479

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
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$549.54
Typical High
$549.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$524.81
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$316.23
Typical High
$446.68
Medcost
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$549.54
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$467.74
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$467.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$6,309.57

Where North Carolina 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.

North Carolina $479 · 13th 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.