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Ankle-Foot Orthosis, Double Upright, Solid Stirrup

North Carolina rates for HCPCS L1990

Ankle-foot orthosis (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthosis), custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Double Upright, Solid Stirrup cost?

$407

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $468 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 6 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$407$282 to $468
FacilityA hospital or hospital-owned outpatient department$468$316 to $589

How much rates vary

Facilitymedian $468 · 10th to 90th $229 to $1,072Professionalmedian $407 · 10th to 90th $229 to $468
$200$500$1K$2Kfacility $468professional $407

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
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$467.74
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$467.74
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$380.19
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,466.84

Where North Carolina sits

The same service costs 4.6 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.

North Carolina· 13th of 51

$407

HI $933DC $204

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.