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Ankle-Foot Orthosis, Double Upright, Solid Stirrup

Utah 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?

$302

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $251 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$302$224 to $562
FacilityA hospital or hospital-owned outpatient department$251$162 to $501

How much rates vary

Facilitymedian $251 · 10th to 90th $162 to $501Professionalmedian $302 · 10th to 90th $162 to $2,884
$200$500$1K$2Kfacility $251professional $302

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
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$363.08
Typical High
$478.63
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$501.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$724.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$512.86
Typical High
$645.65
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$380.19

Where Utah 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.

Utah· 31st of 51

$302

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.