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Ankle-Foot Orthosis, Single Upright, Solid Stirrup

New Jersey 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?

$219

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $158 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 5 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$219$186 to $295
FacilityA hospital or hospital-owned outpatient department$158$158 to $282

How much rates vary

Facilitymedian $158 · 10th to 90th $158 to $479Professionalmedian $219 · 10th to 90th $170 to $468
$200$500$1K$2Kfacility $158professional $219

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
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$616.60
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$467.74

Where New Jersey 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.

New Jersey· 39th of 51

$219

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.