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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

Illinois rates for HCPCS L1970

Ankle-foot orthosis (AFO), plastic with ankle joint, custom fabricated

Rates data updated July 2026.

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

$501

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,023 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$501$427 to $646
FacilityA hospital or hospital-owned outpatient department$1,023$427 to $1,778

How much rates vary

Facilitymedian $1,023 · 10th to 90th $427 to $4,074Professionalmedian $501 · 10th to 90th $417 to $851
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,023professional $501

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
$426.58
Median
$426.58
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,621.81
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$977.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,230.27
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
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$676.08
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$741.31

Where Illinois sits

The same service costs 2.8 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 $501 · 28th of 51
HI $912DC $331

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.