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Ankle-Foot Orthosis, Double Upright, Solid Stirrup

South 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?

$275

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $316 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$269$263 to $427
FacilityA hospital or hospital-owned outpatient department$316$263 to $501

How much rates vary

Facilitymedian $316 · 10th to 90th $263 to $708Professionalmedian $269 · 10th to 90th $251 to $468
$200$500$1Kfacility $316professional $269

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
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$302.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$416.87
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$371.54

Where South 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.

South Carolina· 41st of 51

$275

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.