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Ankle-Foot Orthosis, Single Upright, Solid Stirrup

Rhode Island 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?

$275

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $891 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 4 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$234 to $316
FacilityA hospital or hospital-owned outpatient department$891$309 to $1,122

How much rates vary

Facilitymedian $891 · 10th to 90th $275 to $1,230Professionalmedian $275 · 10th to 90th $234 to $347
$200$500$1K$2Kfacility $891professional $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. 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
$234.42
Median
$257.04
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$446.68

Where Rhode Island 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.

Rhode Island· 18th of 51

$275

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.