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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

Rhode Island rates for HCPCS L1970

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

Rates data updated October 2026.

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

$603

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,995 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$603$513 to $631
FacilityA hospital or hospital-owned outpatient department$1,995$1,549 to $2,239

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,096 to $2,455Professionalmedian $603 · 10th to 90th $398 to $891
$500$1K$2Kfacility $1,995professional $603

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$257.04
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$104.71
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$77.62
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$52.48
Median
$63.10
Typical High
$63.10
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$2,137.96
Typical High
$2,454.71
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$602.56
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$549.54
United
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$575.44
Typical High
$891.25

Where Rhode Island sits

The same service costs 2.4 times more in Iowa than in Delaware. 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.

Rhode Island· 22nd of 51

$603

IA $955DE $398

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.