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Ankle-Foot Orthosis, Single Upright, Solid Stirrup

Virginia 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?

$240

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 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 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$240$204 to $282
FacilityA hospital or hospital-owned outpatient department$427$275 to $427

How much rates vary

Facilitymedian $427 · 10th to 90th $204 to $537Professionalmedian $240 · 10th to 90th $170 to $407
$200$500$1K$2K$5K$10Kfacility $427professional $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
$169.82
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$501.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$524.81
Sentara
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$1,230.27
Sentara
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$331.13

Where Virginia 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.

Virginia· 34th of 51

$240

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.