go back

Ankle-Foot Orthosis, Single Upright, Solid Stirrup

Illinois rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Single Upright, Solid Stirrup cost?

$288

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $501 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$275$251 to $380
FacilityA hospital or hospital-owned outpatient department$501$251 to $871

How much rates vary

Facilitymedian $501 · 10th to 90th $251 to $2,512Professionalmedian $275 · 10th to 90th $200 to $501
$200$500$1K$2K$5Kfacility $501professional $275

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
$251.19
Median
$251.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$501.19
Typical High
$616.60
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$426.58

Where Illinois sits

The same service costs 4.7 times more in Hawaii than in Washington, DC. 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.

Illinois· 16th of 51

$288

HI $794DC $170

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.