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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

Utah 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?

$513

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $398 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 7 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$513$363 to $724
FacilityA hospital or hospital-owned outpatient department$398$257 to $851

How much rates vary

Facilitymedian $398 · 10th to 90th $257 to $851Professionalmedian $513 · 10th to 90th $257 to $1,259
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $398professional $513

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
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$478.63
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$616.60
Typical High
$794.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$851.14
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$933.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Select Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$851.14
Typical High
$851.14
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$616.60

Where Utah 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.

Utah $513 · 25th 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.