go back

Ankle-Foot Orthosis, Single Upright, Solid Stirrup

New York 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?

$251

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $288 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 9 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$240$219 to $372
FacilityA hospital or hospital-owned outpatient department$288$240 to $479

How much rates vary

Facilitymedian $288 · 10th to 90th $200 to $708Professionalmedian $240 · 10th to 90th $182 to $676
$200$1K$5K$20Kfacility $288professional $240

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
$204.17
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$776.25
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$389.05
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$281.84
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$302.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$1,819.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$891.25
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$263.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$295.12
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$309.03
Typical High
$758.58
Univera
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$288.40
Univera
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$295.12

Where New York 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 York· 26th of 51

$251

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.