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Ankle-Foot Orthosis, Solid Ankle, Custom Fabricated

New Jersey 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?

$372

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $282 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 5 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$372$302 to $513
FacilityA hospital or hospital-owned outpatient department$282$282 to $525

How much rates vary

Facilitymedian $282 · 10th to 90th $282 to $851Professionalmedian $372 · 10th to 90th $275 to $832
$200.0$500.0$1.0K$2.0Kfacility $282professional $372

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
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$524.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,122.02
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$812.83

Where New Jersey 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.

New Jersey $372 · 34th 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.