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Ankle-Foot Orthosis, Single Upright, Solid Stirrup

Ohio 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?

$263

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 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 8 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$263$240 to $324
FacilityA hospital or hospital-owned outpatient department$501$457 to $525

How much rates vary

Facilitymedian $501 · 10th to 90th $263 to $741Professionalmedian $263 · 10th to 90th $200 to $513
$200$500$1Kfacility $501professional $263

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
$263.03
Median
$457.09
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$354.81
Typical High
$501.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$302.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$288.40
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$426.58
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$398.11
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$323.59

Where Ohio 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.

Ohio· 21st of 51

$263

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.