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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

South Dakota 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 South Dakota, 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 $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 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$708$575 to $977
FacilityA hospital or hospital-owned outpatient department$851$631 to $1,023

How much rates vary

Facilitymedian $851 · 10th to 90th $575 to $1,148Professionalmedian $708 · 10th to 90th $479 to $1,202
$500.0$1.0K$2.0K$5.0Kfacility $851professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$575.44
Typical High
$724.44
Avera
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$5,128.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,047.13
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,513.56
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$467.74
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$977.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99

Where South Dakota 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.

South Dakota $708 · 8th 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.