go back

Ankle-Foot Orthosis, Solid Ankle, Custom Fabricated

Tennessee 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?

$324

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $525 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 6 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$309$288 to $398
FacilityA hospital or hospital-owned outpatient department$525$309 to $4,074

How much rates vary

Facilitymedian $525 · 10th to 90th $309 to $4,074Professionalmedian $309 · 10th to 90th $275 to $525
$1.0$10.0$100.0$1.0Kfacility $525professional $309

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
$309.03
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$524.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,309.57
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$446.68

Where Tennessee 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.

Tennessee $324 · 47th 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.