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Knee-Ankle-Foot Orthosis, Multi-Axis Ankle

North Carolina rates for HCPCS L2038

Knee-ankle-foot orthosis (KAFO), full plastic, with or without free motion knee, multi-axis ankle, custom fabricated

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Multi-Axis Ankle cost?

$1,230

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $1,413 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$1,230$1,000 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,413$1,000 to $1,820

How much rates vary

Facilitymedian $1,413 · 10th to 90th $724 to $3,162Professionalmedian $1,230 · 10th to 90th $759 to $1,413
$1K$2K$5Kfacility $1,413professional $1,230

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
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,412.54
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$1,380.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,230.27
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,202.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$15,848.93

Where North Carolina sits

The same service costs 2.6 times more in Hawaii than in Nevada. 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

$1,230

HI $1,950NV $759

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.