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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

Tennessee 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?

$437

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $692 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 6 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$437$407 to $537
FacilityA hospital or hospital-owned outpatient department$692$457 to $4,266

How much rates vary

Facilitymedian $692 · 10th to 90th $398 to $4,266Professionalmedian $437 · 10th to 90th $372 to $776
$1.0$10.0$100.0$1.0K$10.0Kfacility $692professional $437

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
$416.87
Median
$457.09
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$776.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$549.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$602.56

Where Tennessee 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.

Tennessee $437 · 44th 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.