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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

Michigan 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?

$490

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $1,445 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$479$479 to $724
FacilityA hospital or hospital-owned outpatient department$1,445$1,096 to $1,738

How much rates vary

Facilitymedian $1,445 · 10th to 90th $479 to $2,512Professionalmedian $479 · 10th to 90th $398 to $832
$500$1K$2K$5Kfacility $1,445professional $479

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
$478.63
Median
$1,445.44
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,511.89
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$1,000.00
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,584.89
Typical High
$1,778.28
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$1,023.29
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$676.08
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$616.60

Where Michigan sits

The same service costs 2.8 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 29th of 51

$490

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.