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Ankle-Foot Orthosis, Single Upright, Solid Stirrup

Maine 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?

$302

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $562 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$302$240 to $468
FacilityA hospital or hospital-owned outpatient department$562$275 to $631

How much rates vary

Facilitymedian $562 · 10th to 90th $257 to $676Professionalmedian $302 · 10th to 90th $200 to $468
$200$500$1Kfacility $562professional $302

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
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$562.34
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$251.19
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$446.68
Typical High
$467.74

Where Maine 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.

Maine· 14th of 51

$302

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.