go back

Ankle-Foot Orthosis, Single Upright, Solid Stirrup

South Dakota 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?

$427

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $427 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 7 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$427$302 to $562
FacilityA hospital or hospital-owned outpatient department$427$331 to $513

How much rates vary

Facilitymedian $427 · 10th to 90th $302 to $603Professionalmedian $427 · 10th to 90th $288 to $708
$200$500$1K$2Kfacility $427professional $427

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
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$3,235.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$501.19
Midlands
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$794.33
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$575.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09

Where South Dakota 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.

South Dakota· 6th of 51

$427

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.