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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 July 2026.

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

$525

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $1,778 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 4 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$525$479 to $603
FacilityA hospital or hospital-owned outpatient department$1,778$617 to $2,239

How much rates vary

Facilitymedian $1,778 · 10th to 90th $550 to $2,455Professionalmedian $525 · 10th to 90th $468 to $631
$500.0$1.0K$2.0K$5.0Kfacility $1,778professional $525

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. 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
Global
Typical Low
$467.74
Median
$478.63
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,137.96
Typical High
$2,454.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$891.25

Where Rhode Island 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.

Rhode Island $525 · 21st 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.