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Ankle-Foot Orthosis, Solid Ankle, Custom Fabricated

South Dakota 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?

$550

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $631 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$550$427 to $832
FacilityA hospital or hospital-owned outpatient department$631$490 to $724

How much rates vary

Facilitymedian $631 · 10th to 90th $427 to $871Professionalmedian $550 · 10th to 90th $389 to $1,072
$200.0$500.0$1.0K$2.0Kfacility $631professional $550

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$426.58
Typical High
$549.54
Avera
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$478.63
Typical High
$3,981.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$691.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,122.02
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$478.63
Typical High
$870.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96

Where South Dakota 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.

South Dakota $550 · 9th 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.