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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 October 2026.

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

$468

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $550 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$407 to $708
FacilityA hospital or hospital-owned outpatient department$550$550 to $550

How much rates vary

Facilitymedian $550 · 10th to 90th $417 to $550Professionalmedian $457 · 10th to 90th $398 to $5,248
$500$1K$2K$5Kfacility $550professional $457

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$416.87
Typical High
$562.34
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$204.17
Median
$208.93
Typical High
$229.09
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$83.18
Typical High
$91.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$61.66
Median
$61.66
Typical High
$67.61
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$40.74
Median
$41.69
Typical High
$45.71
Ambetter
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$549.54
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$8,128.31
Typical High
$8,128.31
United
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$436.52
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$436.52
Typical High
$537.03

Where Tennessee 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.

Tennessee· 41st of 51

$468

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.