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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

Indiana 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?

$468

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $851 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$447$417 to $537
FacilityA hospital or hospital-owned outpatient department$851$537 to $851

How much rates vary

Facilitymedian $851 · 10th to 90th $417 to $1,072Professionalmedian $447 · 10th to 90th $389 to $813
$1.0$10.0$100.0$1.0Kfacility $851professional $447

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
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$524.81
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$602.56

Where Indiana 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.

Indiana $468 · 38th 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.