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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

North Carolina 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?

$708

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $813 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$708$479 to $813
FacilityA hospital or hospital-owned outpatient department$813$525 to $1,000

How much rates vary

Facilitymedian $813 · 10th to 90th $380 to $1,585Professionalmedian $708 · 10th to 90th $398 to $813
$1.0$10.0$100.0$1.0K$10.0Kfacility $813professional $708

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
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$812.83
Typical High
$812.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$660.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$537.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$812.83
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$616.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,943.28

Where North Carolina 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.

North Carolina $708 · 9th 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.